Help Create the Path to Literacy!

Teton Literacy Program (TLP) invites you to be part of a special limited commemorative opportunity. The TLP is creating the Path to Literacy at its new facility. Bricks are available for individuals and families to acknowledge their support of TLP and/or to honor and memorialize loved ones. Each sponsored brick will be a visible part of the entrance to the new facility.

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ENGRAVING INFORMATION – PLEASE FILL OUT ONE FORM PER BRICK

1ST Line (20 characters including spaces and punctuation)

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2ND Line (20 characters including spaces and punctuation)

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3RD Line (20 characters including spaces and punctuation)

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YOUR INFORMATION                                                        TOTAL NUMBER OF BRICKS____________

NAME________________________________________       $250 per Brick = Total Due $______________

MAILING ADDRESS___________________________       Checks made payable to:

                                                                                                      

CITY_____________________STATE_____________            Teton Literacy Program

                                                                                                        1465 Gregory Lane #260

ZIP_______________________                                                   P. O. Box 465

                                                                                                        Jackson, Wyoming 83001

PHONE____________________                                                  307-733-9242 phone

                                                                                                        307- 733-9086 fax

                                                                                                        www.tetonliteracy.org