Brick Order Form - Paul Smith`s College

PAVING THE WAY ORDER FORM
Please choose:
6” x 8” Paver = $99
8” x 13” Paver = $199
8” x 13” Paver with Corporate Logo = $249
Example Pavers
Engraving Text
(16 characters per line, including spaces and punctuation)
6 x 8 inch Paver Text
8 x 13 inch Paver Text
Corporate Logos
Email [email protected] for style options.
Method of Payment
Enclosed is a check payable to Paul Smith’s College.
Mastercard
Visa
Discover
Amex
Card#
Card CVV
(3-digit code on back of card)
Exp. Date
Name
(as it appears on card)
Address
City/State/Zip
Phone
Cell
Email
Please complete this form and send with your payment to:
Alumni Office, Paul Smith’s College, P.O. Box 265, Paul Smiths, NY 12970, or fax to (518) 327-6267.