Donor Paver Form

CREATE A LASTING TRIBUTE
Honor your Loved Ones and Friends with a Commemorative Paver at the New Harold & Carmen Poulsen Legacy Housing

Please help support the new patient housing facility in Great Falls by memorializing a special loved one or friend with a commemorative paver prominently displayed within the facility. Your personal inscription will forever be commemorated in the new facility.

Each paver is durable and engraved with your message. The cost is $1000 for a 12” x 12” size, $750 for a 8” x 8” size and $500 for a 4” x 8” size paver. Pavers will be placed in visible locations and be of a material consistent with the decor and architecture of the new facility.

For more information, please call 406-771-3107.