Show your pride on the Pharmacy Walkway of Honor
The Arkansas Pharmacy Foundation is pleased to announce the beginning of our Pharmacy Walkway of Honor. The walkway will be composed of bricks on which the names of pharmacists, pharmacies, and other business related companies, such as wholesale, drug, design, computer, etc. can be placed to show appreciation for the profession of pharmacy. The walkway will be located outside the entrance to the Lester E. Hosto Conference Center. The Foundation will place the first brick in memory of Dr. Lester Hosto.

Pharmacy Walkway of Honor Order Form

_____ Yes, I want to be included in the APF Pharmacy Walkway of Honor. Enclosed is my $125.00 contribution for each 4x8 brick I wish to donate. APF is a 501 C3 charitable service, therefore, the brick donation will be 100% tax deductible.
Please use the form below to personalized your brick(s). Make copies as necessary. Print the name and other information as you would like it to appear on your brick. You have a maximum of three lines per brick with up to 18 characters, including spaces. Please use the ampersand (&) instead of “and” and omit periods.

Personalize your brick here.

 

Name

Address

City     State    Zip

Phone

I wish to order bricks @ $125.00 each
for a total of $

Method of Payment

Check, payable to APF, mail to 417 South Victory, Little Rock, AR  72201
Credit Card

Visa            Mastercard         Discover        American Express
Card Number
Expiration Date

Proceeds will help provide funds to sponsor, support and conduct educational programs, thereby promoting the Foundation to efficiently perform the objectives for which it is organized.