Memorial Brick

Request an Engraved Brick

Kansans for Life has recently taken over the Heart of America Wall for the Unborn.

To request an engraved brick on the grounds, please complete the form below, and a member of our team will contact you soon. The minimum donation for an engraved brick is $150.

If you’d prefer to make a gift to help maintain and beautify the grounds, you can skip the brick engraving section and donate directly. We’re so thankful for your partnership in honoring life.

Please click here if you’d like to request an engraved name on the wall instead.

Name Engraved on Brick

Name

Gift

The minimum donation to request an engraved brick on the memorial grounds is $150. All gifts, regardless of amount, support the wall’s upkeep and beautification.

Frequency

Payment

Card Number

Card Type

Expiration Month

Expiration Year

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

Billing Address 2

Billing Postal Code

Billing City

Billing State

Billing Country

Contact Info

First Name

Last Name

Country

Address 1

Address 2

Postal Code

City

State/Province

Phone Number

Email Address

Yes, I would like to receive email communications.Yes, I would like to receive email communications.