<p> Memorial Garden Paving Stone Order Form </p><p>Print this page.</p><p>Please complete all information and mail this form with payment in full to (checks should be payable to Our Lady of the Chesapeake):</p><p>Our Lady of the Chesapeake 8325 Ventnor Road Pasadena, MD 21122</p><p>Please complete a separate order form for each paving stone that you are sponsoring. Please be aware that it may take up to several months for the stone to actually be placed in the Memorial Garden.</p><p>Name: ______</p><p>Date: ______</p><p>Street Address: ______</p><p>City, State, Zip: ______</p><p>Telephone: ______</p><p>Amount Enclosed ($50 per paving stone) $______</p><p>Inscription -- Please Print (14 characters each line, including spaces and punctuation)</p><p>______</p><p>______</p><p>______</p><p>___This is a Gift. Please send an acknowledgement certificate to:</p><p>Name: ______</p><p>Address: ______</p>