Engraved Brick Paver Interest Form

Touching Families. Preserving Memories.

Monday-Friday

8:00am-5:00pm CST

1609 Union Avenue

Parsons, KS 67357

800.367.8099 Toll Free

620.421.5021 Phone

620.421.4215 Fax

Corporate Office

Suhor Industries, Inc.

10965 Granada Lane

Suite 300

Overland Park, KS 66211

913.345.2120 Phone

913.345.9820 Fax

800.330.1869 Toll Free

Engraved Brick Fundraising Interest Form

Please send me your Engraved Brick Fundraising Brochure.

Number of copies:

Mailing Address:

Telephone Number:

So that we may better assist you, please take a moment to answer the following questions (optional):

Has your organization ever held an engraved brick paver fundraising campaign?

Yes No

Does your organization have a fundraising committee established?

Has a date for the fundraising project been established?

Yes No

If so, please provide:

Organization type:

Civic

Private

Veteran

Secular

Religious

Other

A Division of Suhor Industries, Inc. | 10965 Granada Lane Suite 300 | Overland Park, KS 66211.1412 | 913.345.2120 www.suhor.com