Seton Legacy Garden

Mail Order Form

Please fill out this form, print and mail it with payment to:

Seton Legacy Garden
333 South Seton Avenue
Emmitsburg, MD 21727-9297 USA
or call 301.447.6037

MEMORIAL OPTIONS
(check all that apply and provide inscriptions)
6" x 9" Brick 
$150   		 Quantity of Bricks:
  Brick Inscription 1
(34 characters maximum, 17 characters per line)
  
  Brick Inscription 2
(34 characters maximum, 17 characters per line)
  
12" x 12 " Paver 
$1,000   		 Quantity of Pavers:
  Paver Inscription 1
(38 characters maximum, 19 characters per line)
  
  Paver Inscription 2
(38 characters maximum, 19 characters per line)
  
4' Granite Bench 
$10,000   		 Quantity of Benches:
  Bench Inscription 1
(38 characters maximum, 19 characters per line)
  
  Bench Inscription 2
(38 characters maximum, 19 characters per line)
  
   
Comments: 
TOTAL YOUR ITEMS
Item
Quantity
Cost
   
TOTAL:
 
PAYMENT INFORMATION
Name:
Address:
    
City:
    
State:
    
Zip Code :
   
Phone:
    
Email:
    
Your information is confidential and will not be sold to another entity.
Check enclosed
Credit Card Payment
VISA      Mastercard
Card Number
Name on Card
Security Code
Exp date
 Signature