Seton Shrine Everlasting Expression Wall
Order Form

Please fill out this form, print and mail it with payment to:

The National Shrine of Saint Elizabeth Ann Seton
P.O. Box 1809
333 South Seton Avenue
Emmitsburg, MD 21727

or call 301-447-7155 to charge by phone

All contributions are tax deductible. Make checks payable to The Seton Shrine

Gift Plans
 
Cost

Seton Patron: Brass foundation stone with maximum inscription of 4 lines (up to 25 characters each)

Enter your inscription (100 character maximum):
$10,000 and up

Seton Sponsor: Brass plate measuring 2" x 3" with maximum inscription of 4 lines (up to 25 characters each)

Enter your inscription (100 character maximum):
$5,000

Seton Donor: Brass plate measuring 1 " x 3" with maximum inscription of 3 lines (up to 22 characters each)

Enter your inscription (66 character maximum):
$1,000
   
Enter total Donation:
 
Name:
Address:
    
City:
    
State:
    
Zip Code :
   
Phone:
    
Email:
    
Payment Information
Check enclosed
Credit Card Payment
VISA      Mastercard
Card Number
Name on Card
Security Code
Exp date
 Signature
   Print Form