Granite
Paver Fundraiser - Order Form
Great
for birthdays, anniversaries, memorials ... any time of year.
Please fill out form below EXACTLY how you would like it to appear.
Please
Print
Fill
out the form below, use a separate order form for each paver.
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(Sample
of how to fill out above grid)
Name:
______________________________________________________________
Address:
____________________________________________________________
City:
__________________________
State
: ____________ ZIP: _____________
Telephone
(day): _______________________ (eve) ________________________
Granite
Paver:
1
– 4”X7” paver @ ………………………………………………….…………………………. $75.00 each
Plus
$1.50 for each character lettered
on
the paver (# of letters X $1.50) .........................................
+ ___________
TOTAL
PAID: …………………………………………………………………………………….= ___________
Make
checks payable to:
Spring
Arbor
Township
Return
this form and check to:
Spring
Arbor
Township
Park
Committee
P.O.
Box 250
Spring
Arbor ,
MI
49283-0250
Questions??
call 517-750-2800 ext. 210
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