Brick/Paver Form

The bricks will line the sidewalk into the front door of the house and near the garden. The four-inch by eight-inch brick with three lines sells for $1,200 each. All proceeds from the sale of the bricks will go to our Kenzi’s House.

Brick/Paver Information

Amount

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Paver Line 1

Paver Line 2

Paver Line 3

I would like to dedicate this donation

Contact Information

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Last Name

Company Name

Address

Address 2

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Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $1,200.00 to go to Kenzi's Causes and I will donate $1,236.00.No. I will donate $1,200.00 and Kenzi's Causes will cover the processing costs.

Credit Card Information

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Expiration Date

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Billing Address

Same As Above

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