Carroll Hospital

Carroll Hospital Commemorative Bricks

The commemorative brick program at Carroll Hospital offers the opportunity to memorialize or honor your loved one or someone close to you.

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Gift Information

$250 ~ William E. Kahlert Regional Cancer Center ~ Front Entrance Brick : These bricks will be placed in the walkways outside the main entrance of the building. Limited number of bricks available.

$100 ~ William E. Kahlert Regional Cancer Center ~ Courtyard Brick: These bricks will be placed in the courtyard between the cancer center and The Family Birthplace.

$100 ~ Carroll Hospital ~ Front Entrance Flag Court Brick: These bricks will be placed in the lovely flag court area outside of the Carroll Hospital front entrance.

$50 ~ Carroll Hospital ~ Garden of Remembrance Brick: These bricks are to honor hospital associates, medical staff, volunteer & board members who give time and talent to Carroll Hospital. Each brick will be placed in the Gabezo Garden pathway near Center Street.

Check this box to make a gift on behalf of an organization

Business/Organization Name (If applicable)

Tribute Gift Type:

Tributee Name:

Brick Inscription (Please note 3 lines of text & no more than 18 characters/spaces per line):

Notification Recipient Name:

Notification Recipient Street:

Notification Recipient City:

Notification Recipient State / Province:

Notification Recipient Zip / Postal Code:

Billing Information

Title:

First Name:

Last Name:

Email Address:

Street 1:

Street 2:

City:

State:

Zip Code:

Phone:

Payment Information

Your Donation Total:

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Expiration

CCV

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