AACC "Walk of Arts" Brick Paver Program
Each brick donation is $150 and you may order up to two on this order form. Please proof your item(s) carefully. Once checkout is complete, we are unable to make any changes.
*
1
. Contact Information:
(Name, Address, Email & Phone are required fields.)
Contact Information: (Name, Address, Email & Phone are required fields.)
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
*
2
. Type in your brick inscription: (20 Characters, 5 Lines Max. All text will be centered on the brick. Logos and print will be engraved in black.)
Please remember to proofread your message as it will be printed as you type it.
Type in your brick inscription: (20 Characters, 5 Lines Max. All text will be centered on the brick. Logos and print will be engraved in black.) Please remember to proofread your message as it will be printed as you type it.
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
3
. Do you want to order a second brick? If not, print this page as confirmation and hit "Save & Checkout."
Just type in your second brick inscription: (20 Characters; 5 Lines Max. All text will be centered.)
When completing your payment, you will need to add the Brick Paver twice to your Cart before your final checkout in order to indicate two bricks.
Do you want to order a second brick? If not, print this page as confirmation and hit "Save & Checkout." Just type in your second brick inscription: (20 Characters; 5 Lines Max. All text will be centered.) When completing your payment, you will need to add the Brick Paver twice to your Cart before your final checkout in order to indicate two bricks.
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Please print this page as confirmation of your order. Click "Save & Checkout" to save your order. You will receive an email from us with information on how to process your credit card payment. Your brick paver will not be ordered until payment has been received.
If you prefer, you can proceed directly to the credit card payment system by visiting https://egov.cityofaventura.com/webtrac/donations.html
Thank you for your donation supporting the arts in Aventura!
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