Anne Heinig Memorial Park
We are raising money to help pay for Phase 2 of the playground and park area renovations and improvements.
This is a wonderful way to support our community park while memorializing a loved one, honoring a family member, or just to celebrate your child's or grandchild's name forever as part of our wonderful neighborhood! Bricks are $100.00 each. They are standard 4" x 8" and have a lifetime guarantee. They will be placed in the walkway leading to the club.
If you prefer not to purchase a brick, but want to support the fundraising effort we welcome any and all donations!
Option 1 - Yes, I'd like to buy a brick (Complete form below)
Option 2 - I prefer to make a cash donation. Amount enclosed: $_________________
Make Checks payable to Anne Heinig Memorial Park and mail to Ashley Samuelson at 3223 Johnny Cake Lane, Charlotte, NC 28226. Put "Playground Fundraiser" in the memo field
Option 3 - I will participate in the upcoming Anne Heinig Park Playground Cleanup Day(s) YES___NO___
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We'd like to reserve a permanent brick. Please engrave our brick as follows:
ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)
ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED
4 x 8 Brick
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PLEASE RETURN THIS FORM AND YOUR CHECK
(PAYABLE TO "Anne Heinig Memorial Park". "PLAYGROUND' SHOULD BE IN THE MEMO LINE
Ashley Samuelson
3223 Johnny Cake Lane
Charlotte, NC 28226
Name: ________________________________________ Phone: (_______) _________________________
Address: _______________________________________________________________________________
City: ____________________________________ State: __________________ Zip: __________________
Email Address: ___________________________________________ Amount Paid: ___________________
If you have any questions, please call Ashley Samuelson @704.556.9773. Playground@MBCivic.com
YES____, I, ______________________________, will provide sweat equity on date to be published at the Anne Heinig Park Playground Clean-up Day. Contact phone:__________________ contact email_____________________