Issue link: http://townofcary.uberflip.com/i/848308
5 6 Maili n g A d dress: P. O. B ox 8005, Cary, N. C. 27512 Partici pa nt's Last Na me ________________________________ First Na me ______________________________________ Class Class/ Workshop Day Date(s) Ti me Fee* Code Title _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ _____________ __________________________ ________ _______ _______ ___________ Transfer this total to the other side: $ ________ C ar y S e ni or C e nt er M e m ori al G ar d e n Pl az a Cary Se ni or Ce nter Me m orial Gar de n Plaza Re me m - ber a l ove d o ne wit h a gift t o Cary Se ni or Ce nter's Me m orial Gar de n Plaza. Wit h y o ur $50 or m ore d o nati o n, a n e n grave d brick will be place d i n t he Me m orial Gar de n Plaza, s urr o u n de d by bea utif ul gar de ns a n d a relaxi n g f o u ntai n. T his tax- de d ucti ble c o ntri b uti o n will s h o w y o ur de dicati o n t o Cary Se- ni or Ce nter, w hile h o n ori n g or me m orializi n g a l ove d o ne, frie n d or y o urself! Fill o ut t his f or m a n d ret ur n it wit h a se parate c heck f or $50 or m ore, paya ble t o: Frie n ds of t he Cary Se ni or Ce nter, I nc. Call (919) 469-4081 f or m ore i nf or mati o n. Please pri nt text i n t he s paces pr ovi de d bel o w. T here is a maxi m u m of 3 li nes a n d n o m ore t he n 17 characters per li ne (characters i ncl u de letters, d ots, das hes, s paces, n u m bers, etc.). Please use a se parate f or m f or each brick. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ If t his is a gift, please ack n o wle d ge t o: Na me:____________________________________________________________ A d dress:_________________________ City/ State:____________ Zi p:________ Re gistrati o n For m