FRIENDS OF THE MONMOUTH COUNTY

CHILD ADVOCACY CENTER, INC.

One Place…One Team….One Coordinated Response

The Children of Monmouth County Deserve Nothing Less!

Because All Children Deserve a Safe Place

BUY A BENCH CAMPAIGN

Order Information

Name

Address

City

State

Zip

Phone

BENCH       $2,500

(Make check payable to Friends of MCCAC)

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Line 1

Line 2

Line 3

EXAMPLE

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Line 1

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P

A

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Line 2

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Line 3

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Please fill in the name or phrase you wish to have on your bench.  You have the option of

using 1, 2, or 3 lines.

Print exactly the way you wish your engraved bench plate to read.  If you print in

UPPERCASE or lower case, text will be  in UPPER CASE or lower case.  You may also use

numbers for your inscription.  Spacing between words is considered as a character.

Punctuation does require a space.  All text will be automatically centered.

Payment Method:

Cash

Credit Card:

MC    AMEX

VISA

DISCOVER      CHECK

Address if Different Than Above:  _____________________________________________________

City:

State:

Zip:

Credit Card Number:_________________________________________________________________

Signature:  _________________________________________________________________________

Friends of the Monmouth County Child Advocacy Center, 75 West Main Street, Freehold, NJ  07728

Charitable Registration No.:  CH2577300

Tax ID No.:  562329493