DEDICATION FORM
I/We would like to make the following dedication in the
Capitol State Park World Peace Rose Garden (please select one or more)
 
 

Courtyard VIP Plaque
Dedicat
ion
- $150 per line

Dimensions of plaque: 8”x17”

Plaque will be placed on one side of four-sided pillar in courtyard area surrounding an elegant fountain. Fifty names will be placed on each plaque in alphabetical order.

Name(s) to be Honored in Garden:
Maximum of 30 characters per line.

1.
2.
3.
4.
5.


Bouquet of Roses Plaque
Full Plaque - $3,500

Dimensions of plaque: 8”x17”

Plaque will be placed on a pillar next to various benches throughout the garden, excluding the courtyard area. Please contact TJ David at TJ@WorldPeaceRoseGardens.org or 916.381.5433 for special dedication instructions.

   

 

 

International World Peace Rose Gardens
SECURE PAYMENT FORM
All donations are tax-deductible
 
| Federal Tax ID# 68-0150998

VISA... .....MC

   

Credit Card and Dedication Information


required field *
   
     
First Name *  

Last Name *  

Email *  

Street Address *  

City *  

State/Province *  

Zip Code *  

Country *  

Day Phone *   ext

Evening Phone *  

Amount $ *  

Credit Card Type *  


Credit Card Number *   - - -

Expiration Date *   / month/year example: 02/16
     

You may also call with your credit card information

 
Phone: 916.381.5433


To mail or fax payment, please download Dedication Payment Form

       
 
Comments:
       
 
  Thank you for your dedication(s)!
 
 


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