AACC Walk of Arts Brick Pavers 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. Question Title * 1. Contact Information:(* Indicates required fields.) *Name: * Company: *Address: * Address 2: *City/Town: * *State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming *ZIP/Postal Code: * *Email Address: * *Phone Number: * Question Title * 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. Line 1: Line 2: Line 3: Line 4: Line 5: Question Title * 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. Line 1: Line 2: Line 3: Line 4: Line 5: Question Title 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! Save & Checkout