St. Mary Medical Center

St. Mary Medical Center, is a member of Trinity Health Mid-Atlantic. It is a 371-bed hospital in Langhorne, Pa., providing care to generations of families in Bucks County and nearby communities. Learn more.

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Healing Garden Brick Online Order Form

We offer bricks in two sizes:

healing-stone-small healing-stone-large

Small 4” x 8” Brick ($125) or Large 8” x 8” Brick ($250)

Each brick, whether large or small, allows for three lines of commemorative copy – 16 characters to the line, including spaces. You may order as many bricks as you wish placed on the Cloister Garden terrace.

Donation Information

Amount:

Small 4” x 8” Brick

$125.00

Large 8” x 8” Brick

$250.00

Additional Information

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Spouse/Partner:

I would like to provide information about my spouse/partner

Billing Information

Title:

First name:

Middle name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

Email:

Confirm Email:

Payment Information

Payment Method:

Credit CardPledge

Matching Gifts

My company will match my gift

Tribute Information

First name:

Last name:

Type:

Description:

Mail a letter on my behalf to

St. Mary Medical Center

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Healing Garden Brick Online Order Form

Donation Form