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Genesis 50th Anniversary Engraved Brick Order Form

BE A LASTING PART OF THE GENESIS 50TH ANNIVERSARY

PURCHASE AN ENGRAVED BRICK FOR THE GENESIS CELEBRATION COURTYARD

In recognition of the 50 years of Genesis Vision that:

“By daily embracing mutual trust and respect, we partner with God and one another to heal a broken world”

The Genesis Anniversary Committee is replacing the paving stones in the courtyard adjacent to the Social Hall ramp with engraved bricks recognizing members of the congregations of St. Clare’s and Temple Beth Emeth.

For $300 you can sponsor an engraved paver in the 50th Anniversary Celebration Courtyard!

$270 is a tax-deductible contribution to Genesis and $30 is the cost of the personalizing your donated brick with up to 3 lines of 14 characters each.

* First Name

* Last Name

* Email

* Phone

* I would like to purchase:

Please fill out the form below and specify your dedication in up to 3 lines of 14 characters each*.

*If required, additional characters above the nominal design can be requested at $1 each (including spaces) by contacting Linda Klimach lklimach@comcast.net

Line 1:

14 character max - including spaces

Line 2:

14 character max - including spaces

Line 3:

14 character max - including spaces

Line 1 (brick 2):

14 character max - including spaces

Line 2 (brick 2):

14 character max - including spaces

Line 3 (brick 2):

14 character max - including spaces

Line 1 (brick 3):

14 character max - including spaces

Line 2 (brick 3):

14 character max - including spaces

Line 3 (brick 3):

14 character max - including spaces

Line 1 (brick 4):

14 character max - including spaces

Line 2 (brick 4):

14 character max - including spaces

Line 3 (brick 4):

14 character max - including spaces

Line 1 (brick 5):

14 character max - including spaces

Line 2 (brick 5):

14 character max - including spaces

Line 3 (brick 5):

14 character max - including spaces

Notes/Comments:

* I understand that, if required, additional characters above the nominal design will cost $1 each (including spaces) and I will be charged for each one.

I understand that, if required, additional characters above the nominal design will cost $1 each (including spaces) and I will be charged for each one.

Amount Due:

Tue, October 14 2025 22 Tishrei 5786

At Temple Beth Emeth, we warmly welcome all who wish to be part of our community—financial circumstances will never be a barrier to belonging.

Temple Beth Emeth
2309 Packard St., Ann Arbor, 48104
734-665-4744
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