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Camp Whitewood
Commemorative Brick Order Form
Print out this form, complete the application and return to the  Camp Office:
 

Name___________________________________________________________________

Address______________________________________Telephone(_____)____________

City_____________________________State___________Zip Code_________________

Print in spaces below, the individual, organization or business name and/or date as you wish it inscribed on the decorative paver.  Space is limited to 3 lines, up to 12 characters per line.  Include all punctuation and spaces as characters and leave blank spaces between names.

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Each brick is a $50.00 tax deductible donation

Return form and Payment to:
Brick Order
4-H Camp Whitewood
7983 S. Wiswell Road
Windsor, Ohio  44099

Telephone Registrations and More information Call:
Locally: (440) 272-5275
Long Distance: 1-800-967-CAMP (2267)
Fax: (440) 272-5276
web site: http://www.ag.ohio-state.edu/~wwoo4h/

e-mail: King.800@osu.edu

How Did you learn about Camp Whitewood?
__Newspaper            __Radio               __Camp Fair          __Friend                __Store Flyer
 __Extension Office           __4-H Club           __Internet            __OTHER______________________

Brick Information

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