Online Donation Form
You can help continue the legacy of BRCIC’s Alan S. Appelbaum, Ph.D. Meditation and Memorial Garden by “planting a brick in our Garden”. Your $100 donation will allow you to contribute a personalized brick in honor or a birthday, an anniversary, or in memory of a loved one. There is no limit to the number of bricks you may donate. In addition to the bricks which create the pathway, this Garden will need more than bricks and mortar in order to flourish. Your gift of $1000 or more will contribute toward the purchase of a granite paving plaque or a special feature area, such as a tree, shrub, or flower bed. Both the paving plaques and special feature area items may be inscribed with the message of your choice. All gifts to BRCIC qualify as a tax deduction.

Engraving is limited to a maximum of four lines, with 22 characters per line, including spaces and punctuation. All lines will be centered on the brick or plaque. The form below truncates each line after 22 characters. BRCIC reserves the right to approve or refuse all engraving requests.
If you prefer to mail in your request and check, download this form, complete and send as directed.
 
I/we wish to donate:
Brick Paver
Granite Paving Plaque
Special Feature Item (please specify):
 
Inscription:
Line 1:
Line 2:
Line 3:
Line 4:
 
Donated by:
Your Name:
Please include the full name(s) of the donor(s) including title, etc. so we can address a thank you letter properly.
For example, enter
’Dr. & Mrs. John Q. Smith‘ or ’President Anna Jones‘
Address:
City:
State:
Zip:
eMail Address:
Re-enter eMail Address:
Phone:
 
 
 
Please note: The BRCIC website is not intended to provide help in a crisis. If you are feeling suicidal or need help for yourself or someone you know, please consult IASP's Suicide Prevention Resources to find a crisis center anywhere in the world. In the US, call toll-free 1-800-273-TALK (8255) for a free suicide prevention service or visit SuicidePreventionLifeline.org.
Website Terms & Conditions       Privacy Policy
Copyright © 2019 Baton Rouge Crisis Intervention Center