SHSC Brick Donation Form

Sleepy Hollow Service Club Bricks

Donate to "Bricks in the Hollow"
The current Lake Sharon flagpole was installed in 1999 in Sabatino Park. The original funds for the project came from resident's donations and those who donated were provided granite bricks that were placed around the flagpole.

The Service Club is once again offering commemorative bricks for a $150 donation. The funds will be used for improving the area around the new playground equipment at Sabatino Park.
Contact Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Brick Copy
The bricks measure 7.75" x 3.75 " and accommodate three lines of text, 15 characters per line. All text is in capital letters and can be letters or numbers. The Service Club reserves the right to reject language that it considers inappropriate or offensive to others.
Line 1
Line 2
Line 3
Payment Method

Service fee added for online payment
I will pay by
Make your check for $150 payable to:

Sleepy Hollow Service Club of Illinois
ATTN: Bricks in the Hollow
PO Box 43
Sleepy Hollow, IL 60118
Flagpole Brick donation

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USDLake Sharon Flagpole Brick
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Sleepy Hollow Service Club Bricks