Issue link: http://townofcary.uberflip.com/i/750162
68 January-May 2017 Cary Senior Center Participant's Last Name ________________________________ First Name ______________________________________ Class Class/Workshop Day Date(s) Time Fee* Code Title _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ Transfer this total to the other side: $ ________ Cary Senior Center Memorial Garden Plaza Remember a loved one with a gift to the Cary Se- nior Center Memorial Garden Plaza. With your $50 or more donation, an engraved brick will be placed in the Memorial Garden Plaza, surrounded by beautiful gardens and a relaxing fountain. This tax-deductible contribution will show your ded- i- cation to the Cary Senior Center, while honoring or memorializing a loved one, friend or yourself! Fill out this form today and return it with a separate check for $50 or more made out to: Friends of the Cary Senior Center, Inc. Call (919) 469-4081 for more information. Please print text in the spaces provided below. There is a maximum of 3 lines and no more then 17 characters per line (characters include letters, dots, dashes, spaces, numbers, etc.). Please use a separate form per brick. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ If this is a gift, please acknowledge to: Name:____________________________________________________________ Address:_________________________ City/State:____________ Zip:________ Registration Form