Hobgood, NC · Halifax County

No notary required

Memory Brick Order Form

Hobgood residents and supporters use this form to contribute $100 for a memory brick honoring someone in the town’s historic church project.

What this form is

This form lets donors contribute $100 for a memory brick in the memory lane planned for the Hobgood Historic Church restoration project. The document does not state that the town requires it; it asks for up to three lines of commemorative text, the donor’s name and address, and payment by check made payable to the Hobgood Revitalization Committee.

Who needs it

Anyone wishing to contribute $100 for a memory brick honoring a person in the Hobgood Historic Church project can complete this form.

How to submit it

Print the completed page and mail it to the Hobgood Revitalization Committee, PO Box 444, Hobgood, N.C. 27843. Make checks payable to the Hobgood Revitalization Committee.

About notarization

This document is signed without a notary; no notarized or sworn attachment is mentioned, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Memory Brick Order Form from this page.

  2. 2

    Complete The Form

    Enter up to three lines of commemorative text, with no more than 18 characters per line, and provide the donor’s name and address.

  3. 3

    Prepare Your Check

    The form states a $100 contribution and says checks should be payable to the Hobgood Revitalization Committee.

  4. 4

    Mail The Form

    Print the completed page and mail it to the Hobgood Revitalization Committee, PO Box 444, Hobgood, N.C. 27843.

Frequently asked questions

Do I need a notary for the Memory Brick Order Form?
No. This document is signed without a notary, and it mentions no notarized or sworn attachment; the signer just signs and dates it.
How do I submit the Memory Brick Order Form?
Print the completed page and mail it to the Hobgood Revitalization Committee, PO Box 444, Hobgood, N.C. 27843. Checks should be payable to the committee.
How much is a memory brick contribution?
The form states that a memory brick contribution is $100. It says gifts by check should be made payable to the Hobgood Revitalization Committee.
What information does the form ask for?
It asks for commemorative text of up to three lines, with a maximum of 18 characters per line, plus the donor’s name and address.

Need something notarized?

This Memory Brick Order Form doesn’t need a notary — but if you have another Hobgood form that does, a commissioned online notary can help.