| To memorialize
someone who has died
from HIV/AIDS, please complete the following to have his/her name
inscribed on a granite stone to becomce a part of the Memorial Walkway
of the New Orleans AIDS Monument.
Each stone may contain one or two lines with a maximum of 13 characters per line. A space or punctuation mark equals one character. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Your name_____________________________ Address_______________________________ Daytime phone_________________________ Nighttime phone________________________ Please send card of acknoledgement to: (If different from above.) Name_________________________________ Address_______________________________ ______________________________________
Inscribed granite stones are $75 each and measure 4x8x4 inches. Placement of the stones into the walkway begins from the monument outward, determined by order date. Please make your check payable to New Orleans AIDS Monument and return with order form. For additional stones, please attach a separate form. Mail to: New Orleans AIDS Monument Committee
Fax: 504.282.3409
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