Legacy Paver Order Form

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Please fill out each line carefully and double check for spelling. We will contact and confirm payment prior to placing your order. You may drop your payment off at campus.

Each line may contain only 20 characters (including spaces). Please double check your character count for each line. You do not have to use all three lines.

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Your Name *

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Best Contact Number *

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Email Address: *

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Line 1: (20 Character Max)

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Line 2: (20 Character Max)

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Line 3: (20 Character Max)

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I confirm that I have double checked my entry for accuracy and spelling. *

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