Milford Campus Garden Brick Form | Bridgeport Hospital Foundation

Milford Campus Bridgeport Hospital Centennial Celebration Garden Brick Form

Three (3) lines of text are available. Symbols that appear on a keyboard may also be used. Inscriptions shall not include commercial messages or company names. Discriminatory or inappropriate messages that refer to a group’s sex, race, color, religious creed, national origin, age, or physical disability shall not be permitted. The Bridgeport Hospital Foundation reserves the right to deny any suggested paver inscription that it deems inappropriate. Pavers should be etched and installed by late fall 2021
Line 1
Line 1 of text inscription - maximum of 18 characters for each line
Line 2
Line 2 of text inscription - maximum of 18 characters for each line
Line 3
Line 3 of text inscription - maximum of 18 characters for each line
Enter name and check the box to approve below
Name
First Last
Phone
Enter mobile phone number
Consent*
I approve the inscription above to be placed on a paver designated for the "Garden of Life" walkway
Questions? Call the Foundation Office at extension (203) 384-3522
The last date to purchase a brick is October 31, 2021

Enter name and check the box to approve below