RTC Paver Purchase Form

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RUNNING TRAILS CENTER PAVER PURCHASE FORM Purchase a paver at the Running Trails Center and support Memorial Park Conservancy! Please select from the options below: $5,000 for 4 lines of engraving on a 24”x24” paver 37 characters per line

$2,500 for 3 lines of engraving on a 12”x24” paver

37 characters per line

$1000 for 2 lines of engraving on a 12”x12” paver 20 characters per line

$500 for 2 lines of engraving on a 9”x9” paver 15 characters per line

$250 for 2 lines of engraving on a 6”x9” paver 15 characters per line

I wish to make a donation of $

and do NOT wish to order a paver.

CONTACT INFORMATION Name Phone Email Address City State Zip

I have enclosed a check for $

Please bill $

made payable to Memorial Park Conservancy.

to my credit card:

Visa

Mastercard

AmEx

Discover

Credit Card Number CCV Expiration Signature

Email completed form to abrannen@memorialparkconservancy.org Or mail to Memorial Park Conservancy, 7575 North Picnic Lane, Houston, TX 77007. Questions? Call 713-863-8403

Memorial Park Conservancy is a 501(c)(3) nonprofit. Donations are deductable to the fullest extent allowed by law.


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