8x8 PAVER ON-LINE ORDER FORM
$100 Donation

NAME:
EMAIL:
ADDRESS:
CITY, STATE, ZIP:	,
PHONE:
Paver Example
INFORMATION FOR PAVERS: $100 Donaton+Eight lines maximum, 18 characters per line with spaces, periods, and all other characters counted when figuring the total number of characters per line. Each blank will not allow you to type in more than 18 characters.
First Line, 18 characters:
Second Line, 18 characters
Third Line, 18 characters
Fourth Line, 18 characters
Fifth Line, 18 characters:
Sixth Line, 18 characters
Seventh Line, 18 characters
Eighth Line, 18 characters
CERTIFICATE - $10 Donation
Mail Certificate to:
Number of Certificates:	If you have more than one certificate, send John an email with the names and addresses.
Certificate total: $
Address:
City, State, Zip:
Total Amount Donated: $