Beach Walk

Paver Order

This form will process your order, not your payment. You may choose to pay by check or to be billed by Paypal.

If you would prefer to print out a form and mail it in, download the paper form: Page 1, Page 2

Please fill out a separate form for each paver ordered.

First Name:
Last Name:
Company:
Mailing Address:
City:
State:
Zip:
E-mail:
Home Phone:
Cell Phone:
Size/Base Price of Paver:	4" X 8" $50 8" X 8" $100 12" X 12" $250
Pavers use the Vermarco font, all capital letters.

Text for 4 X 8 Paver: 3 Lines, 12 characters per line--Total: 36 characters A space counts as a character. Emblem (see below) counts as 4 characters on all three lines, leaving you 8 characters on each line.
Line 1: Line 2: Line 3:
Text for 8 X 8 Paver: 6 Lines, 12 Characters per line--Total: 72 characters A space counts as a character. Emblem (see below) counts as 4 characters on four lines, leaving you 8 characters on the first 4 lines.
Line 1: Line 2: Line 3: Line 4: Line 5: Line 6:
Text for 12 X 12 Paver: 9 Lines, 17 Characters per line--Total: 153 characters A space counts as a character. Emblem (see below) counts as 4 characters on four lines, leaving you 8 characters on the first 4 lines
Line 1: Line 2: Line 3: Line 4: Line 5: Line 6: Line 7: Line 8: Line 9:
Emblems These are the emblems available for paver stones. 4 squares across and 4 squares down are needed. This would mean that your number of characters on each paver would be reduced by 4 on each of the first 4 lines. Emblem must be in one of the corners on the 4X8 pavers. The cost is $20 each.

1. Basketball 2. Golf Club 3. Cheerleading 4. Football 5. Baseball 6. Tennis 7. Gymnastics	8. Golfer 9. Football Player 10. Baseball Player 11. Soccer Player 12. Track 13. Soccer Ball 14. Football Helmet	15. Music 16. Drama 17. CB 18. Swimming 19. Volleyball 20. Wrestling 21. Academics
30% of proceeds automatically go to CBHS football, 20% for paver walk maintenance, 20% for administration of the program. Please check the organization below to receive remaining 30%. Thank You!
Football Volleyball Swimming Boys Cross Country Girls Cross Country Boys Basketball Girls Basketball Boys Soccer Girls Soccer Wrestling Baseball Softball Boys Golf Girls Golf Boys Track Girls Track Boys Tennis Girls Tennis Band Band Guard Auxiliary Surf Club Chorus Yearbook	Cocoa Beach Alumni Association TV Production French Club Spanish Club Newspaper JROTC Fellowship of Christian Athletes Future Educators of America Varsity Cheerleading JV Cheerleading 9th Cheerleading Middle Cheerleading Student Government (Middle) Student Government (Sr.) Academic Team Amnesty International Astronomy Club Beta Club Business Ethic Club Chess Club Congressional Award Speech Future Business Leaders of America	Debate Diversity Club Drama Club FCA Future Problem Solvers Guitar Club Honor Math Project Graduation J. Kyle Braid Key Club Literary Magazine Model Student Senate Mu Alpha Theta National Honor Society National Junior Honor Society Odyssey of the Mind Radio Club Robotics SGA SADD Save Club Other
What is your total cost? 4" X 8" = $50 8" X 8" = $100 12" X 12" = $250 Emblem = $20
Comments or Special Instructions
How do you wish to pay?	Please bill me via Paypal I will send you a check

Designed and maintained by Linda Bates MacCleave, CBHS Class of 65
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Related Topics

Register as CBHS Alumnus HERE

Beach Walk

Paver Order