Order Form for Benches, Pavers and Endowment Fund
                                Create a permanent tribute to your family and loved ones who have
          played an important part  in the development and rebuilding of the community of Franklin, Kansas.
                                Make great gifts for special occasions. (birthday, anniversary, etc.)


                                Print this page and return the completed form to the address below.
BENCH ORDER FORM

 Have your family name forever remembered. Place a bench along the walking path in the Franklin Community Park.

Donor's Name:______________________________________________________              ______ benches @ $100 = $ ____________

Donor's Address:  ______________________________________________________________________

Donor's Phone #: ______________________________    E-Mail: ______________________________________________________

Engraving Information:  (Engraving will be limited to a family name such as "The Joe Smith Family", "Joe Smith", or  "The Smith Family"

 _________________________________________________________________________________
PAVER ORDER FORM

Have your family name forever remembered. Place a permanent memorial paver in the Franklin Community Park.
A walking path within the Franklin Community Park encircles the granite pavers.  This will be a permanant remembrance of your loved one,  family, business, school, etc.  

Choose from 3 sizes.
4 x 8 - $50.00 (maximum 3 lines)
8 x 8 - $75.00 (maximum 5 lines)
12 x 12 - $125.00 (maximum 7 lines)
(maximum 14 characters per line-includes spaces 

Donor's Name:_______________________________________________________________          Amount Enclosed: __________________

Donor's Address:  ______________________________________________________________________

Donor's Phone #: _________________________________  E-Mail: _________________________________________________________

Engraving Information (14 characters per line maximum)

Line 1:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___ 

Line 2:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___ 

Line 3:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___ ($50 - 4x8) 

Line 4:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___ 

Line 5:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ($75 - 8x8)

Line 6:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___ 

Line 7:___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ($100 - 12x12)
ENDOWMENT FUND OR DONATION FORM

Donor's Name:_________________________________________________________________________  
                       
Donor's Address:  ______________________________________________________________________

Donor's Phone #: ____________________________    E-Mail: __________________________________________________

In Memory of: (Optional)   ________________________________________________________________________________

I am making a contribution of  $ _________________ for the following:

_________      Endowment Fund   (Minimum $100 to set up Endowment Fund. Can be later added to in any increments.)

_________     Donation toward any current FCCI  projects

_________     Donation toward a specific project ____________________________________________
                                                     (i.e. park, community center, history program, senior programs, youth programs, veterans programs, etc.)

Donating to charity has long been a powerful and meaningful way to honor the memory of a loved one and express sympathy and condolences to their family.    As a  501(c)(3) not-for-profit entity all donations are tax-deductible.


Please make check payable to:  FCCI
*************************
Send to:
FCCI
 P. O. Box 43
Franklin, Ks. 66735

Call 620-347-8387 or 620-249-9333 for further infomation

Payment can also be made through Pay-pal
Community Park
 Gifts, Momentos, Lasting Tributes
 Endowment Fund E-mail memrylane@yahoo.com