AGHFoundation

Atlantic General Hospital Foundation Logo

Regional Cancer Care Center
Healing Garden Brick Order Form

A Chance to Honor a Loved One ...
Promoting the Natural Healing Process

Healing gardens have become an important part of the healing process for cancer patients throughout the nation, these gardens have become a safe, meditative place that helps rejuvenate patients, family members and staff.

By surrounding patients with the sights, sounds and smells of nature, the healing garden will help reduce stress, alleviate anxiety and promote the natural healing process.

Community members can support the creation of this tranquil space for their family members, friends and neighbors who are battling cancer. A brick pathway throughout the gardens can be engraved to carry your personal message or honor a special person in your life.

To order more than one brick, please complete and submit this form for EACH brick that you would like to order.

I would like to order:

Brick Engraving Information

4" x 8" Brick - $100 Donation
Text specifications:
4"x 8" brick may use up to 3 lines,
with a maximum of 16 characters per line
including spaces and punctuation.

8" x 8" Brick - $500 Donation
Text specifications:
8"x 8" brick may use up to 6 lines,
with a maximum of 16 characters per line
including spaces and punctuation.

Please specify the text for your brick. Please use proper characters and spaces for brick size chosen.

Contact Information

First Name

Last Name

Mobile Phone

Street Address

City

State

Zip

Business/Organization

Payment Information

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV What is this?

We are unable to accommodate request for refunds; thank you for your understanding.

For more information on how to support the Healing Garden, Regional Cancer Care Center or the Atlantic General Campaign for the Future, please contact Tammy Patrick 410.641.9690 or [email protected]

Atlantic General Hospital is a 501(c)(3) nonprofit organization and your contribution is tax-deductible to the fullest extent of the law. A copy of the current financial statement of Atlantic General Hospital is available by writing 9733 Healthway Drive, Berlin, MD 21811 or by calling 410-641-9671. Documents and information submitted under the Maryland Solicitations Act are also available for the cost of postage and copies, from the Maryland Secretary of State, State House, Annapolis, MD 21401. Telephone 410-974-5534.