Commemorative Brick Order Form

Commemorative Brick Order Form

Be a part of history by purchasing a commemorative brick to be placed at the new Nature Center at Collins Marsh. Lining a walkway to the nature center, this brick will ensure the special people in your life are honored through this lasting tribute on the grounds of the Neustadter Nature Center.
Full Name *

First Name Middle Name Last Name
E-mail
Contact Number

- Area Code Phone Number

Billing Address *

Select your Donation Amount and Paver Size *

With your gift of $125, you will receive a 4" by 8" paver. The inscription may have up to three lines of text with 12 characters per line, including spaces and punctuation. Numbers may be used. $ 125.00

With your gift of $300, you will receive a 8" by 16" paver. The inscription may have up to four lines of text with 18 characters per line, including spaces and punctuation. Numbers may be used. $ 300.00

With your gift of $750, you will receive a 16" by 16" paver. The inscription may have up to five lines of text with 18 characters per line, including spaces and punctuation. Numbers may be used. $ 750.00

With your gift of $1,200 or more, you will receive a 16" by 16" paver. The inscription may be the same as above or have a company or organization name and logo engraved on the brick. $ 1,200.00

Total: $ 0.00
Create your inscription: Line 1 *
Create your inscription: Line 2
Create your inscription: Line 3
Create your inscription: Line 1 *
Create your inscription: Line 2
Create your inscription: Line 3
Create your inscription: Line 4
Create your inscription: Line 1 *
Create your inscription: Line 2
Create your inscription: Line 3
Create your inscription: Line 4
Create your inscription: Line 5
Create your inscription above or upload a company or organization name and logo for engraving:
Is this Paver a Gift?

Yes No
Full Name:

First Name Last Name