ORNS Paver Order Form

PAVER ORDER FORM & PERSONALIZATION

Please help us open the doors to Orchard Ridge Nursery School a little wider by taking part in our Pave the Way Scholarship Fund, a program to visibly recognize the current and alumni families and community partners who support our tuition assistance program at ORNS. This program can become a reality when you purchase and personalize a brick paver to be prominently displayed in our front walkway. Bricks of various sizes are available for tax-deductible donations. Consider commemorating each of your children, your family, or inscribe a memory from your time at ORNS. We envision these bricks representing our friends and supporters - old and new – and being laid in a welcoming path that leads right into our amazing, award-winning and inclusive school. We aspire to impact each and every child who attends ORNS by helping them build a lifelong foundation for success at this critical juncture in their life.

We thank you for your support of this meaningful and exciting initiative at Orchard Ridge Nursery School.

PURCHASER INFORMATION

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Phone Number*

Area CodePhone Number

PAVER SELECTION & ENGRAVING SPECIFICATIONS

SMALL PAVER (approx 4"x8")

Quantity

Small Paver Engraving (Up to 3 lines max, 12 characters per line). If ordering more than one small paver, select the add button to customize a new paver.

MEDIUM PAVER (approx 8"x8")

Quantity

Medium Paver Engraving (Up to 4 lines maiximum, 18 characters per line). If ordering more than one medium paver, select the add button to customize a new paver.

LARGE PAVER (approx 8"x16")

Quantity

Large Paver Engraving (Up to 9 lines maximum, 18 characters per line). If ordering more than one large paver, select the add button to customize a new paver.

PAYMENT INFORMATION

PayPal Option:

SMALL PAVER $100.00

Quantity

MEDIUM PAVER $250.00

Quantity

LARGE PAVER $500.00

Quantity

Total $0.00

Pay By Check Option:

Check #

Mail to:

Orchard Ridge Nursery School

1025 McKenna Blvd.

Madison, WI 53715

For payment by check, please make checks out to Orchard Ridge Nursery School. Checks must be received by ORNS before paver orders can be processed.

If you would like to make an additional donation to ORNS, please do so by check and include it in your payment for the paver. Thank you!

QUESTIONS? Contact pavetheway@orns.org or call 608-274-8407