Hamburger Square Paver Order Form

Paver Order Form
Please Select Paver Size
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8"x8" Paver (inscribed with up to 3 lines of copy of company logo)$500.00

4"x8" Paver (inscribed with up to 3 lines of copy or company logo)$250.00
Inscription Information
Preferred Inscription
Line 1 (up to 14 characters)
Example: "In Honor Of"; "In Memory Of", etc.
Line 2 (up to 14 characters)
Example: "Mom & Dad", "Mary & John", etc.
Line 3 (up to 14 characters)
Example: Date, Occasion, etc.
Please attach a hi-res version of your logo

Browse Files

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Donor Information

Please print your name as you would like to be listed.
Donor Name(s)
Address

Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
E-mail
Would you like us to notify someone of this gift?
Please list name(s) of who to notify
Address of those to be notified

Address

Street Address Line 2

CityState

Zip Code
After submitting the form, your browser will be moved to Greensboro Beautiful's PayPal site. You can complete the transaction using your PayPal account OR simply by credit card without having a PayPal account . This is a secure transaction.
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Paver Order Form