You Can Help Build Mary’s House Brick by Brick!

___8X8 Antique Brick ($1,000) ___4X8 Caribbean Brick ($250)

___4X8 Red Brick ($100)

Your Text (please print clearly): _________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Name: _____________________________________________________________________ Address: ____________________________________________________________________ Email Address: _______________________________________________________________ Telephone number; ___________________________________________________________ Tax deductible contribution and payment method: Mary's House for Older Adults PO Box 29561 Washington, DC 20017

Brick Form Nov 2015.pdf

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