Botsford Foundation - Tribute and Memorial

The personalized, engraved bricks that form the pathways of the Botsford Hospital Tribute & Memorial Garden are lasting testaments to special people and special times.

Some bricks celebrate the birth of a child; others memorialize a relative or mark a special day, while still others express gratitude from patients or families for care provided at Botsford. And each gift of $100 or $200 to The Botsford Foundation furthers the health care mission of Botsford Hospital.

As a donor you and your guests will be invited to attend a special remembrance service at the garden to officially dedicate the bricks placed during the past year. This year’s service will be held at 1 p.m., Sunday, June 9, 2013.

To purchase a brick with a credit card please complete the electronic form below. If you wish to pay by check or are a Botsford employee wishing to pay through payroll deduction, click here for a form to print out and mail.

If you have any questions, please contact The Botsford Foundation at (248) 442-5045.

Donor Information:

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Phone:

Email:

Need a gift idea?
If you purchase a brick as a gift, The Botsford Foundation will send a card to the recipient announcing the gift and the inscription.

Please Notify the Following Person of this Gift:

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Relationship:

Payment Information:

Choose your brick options(s) and enter the total amount in the next line.

4" x 8" Brick
Number of bricks at $100 each	SubTotal amount $

8" x 8" Brick
Number of bricks at $200 each	SubTotal amount $

Inscriptions
Please type information exactly as you would like for it to appear.
All text will be centered on each line.
Example of a 4 line inscription on the right.

4" x 8" Brick: 2 lines with 14 spaces each
1.	First line:	Second line:
2.	First line:	Second line:

8" x 8" Brick: 4 lines with 14 spaces each
1.	First line:	Second line:
	Third line:	Fourth line:
2.	First line:	Second line:
	Third line:	Fourth line:

Total Charge Amount:$

Credit Card Type:

Credit Card Number:

Expiration Date:

Card Verification Number:

Click Next Step to review your order. Your credit card will not be charged.

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Botsford Hospital Tribute & Memorial Garden

Be a Part of a Beautiful and Lasting Tradition