Plaza Paver Order Form

Please complete the following information. Required fields are marked with an asterisk (*).

Personal Information

Please enter your phone number in the following format: xxx-xxx-xxxx.

Billing Address

Home Address

Paver Information

I/We wish to order:

 @  $1500.00
 @  $750.00
 @  $500.00
$

Please enter the text that you would like to be engraved on your paver. Each paver may have up to 3 lines of text and will have up to 16 letters or spaces per line. All text will be automatically centered on each paver. If you would like to include a logo, rather than text please note that below and the Office of Insitutional Advancement will contact you.

If you ordered more than one paver please enter information for the first paver and the Office of Institutional Advancement will contact you for details regarding additional pavers.

Payment Information

Confirmation

You are about to submit your donation over our secure server. Please check your information carefully for accuracy, and then click "Submit my donation."