Geneva Park District Winter 2016 Winter 2017 | Page 91

Hawks Hollow Brick Paver Order Form Please complete this form and return it with your tax deductible contribution .

I want to foster a legacy of environmental education and create a lasting impression at the Hawks Hollow Nature Playground .
o 8 ” x 4 ” standard brick paver See character box below $ 125 o 12 ” round bird brick paver Custom - Please call ( 630 ) 232-4542 for details $ 1,000 o 24 ” round bird brick paver Custom - Please call ( 630 ) 232-4542 for details $ 2,500
IN MEMORY OF LOVED ONE
2015 GENEVA PARK DISTRICT FOUNDATION
Small Bird Paver Example . Not actual size Large Bird Paver Example . Not actual size
Standard Brick Paver
Print one letter / number per box . Spaces and punctuation marks count as one box / character . Logos may be included on the large bird pavers for an additional cost . If interested please call ( 630 ) 232-4542 for more information . Messages are subject to approval . All inscriptions are engraved in capital letters with centered justification .
Name Address City Phone Email
State
Zip
Approximate Installation Dates ( weather permitting ): Order By :
Installed By :
July 1st October 1st
January 1st April 1st
April 1st July 1st
Enclosed is my / our gift to the Geneva Park District Foundation .
o 8 ” x 4 ” standard brick paver
$ 125
o 12 ” round bird brick paver
$ 1,000
o 24 ” round bird brick paver
$ 2,500
Check # & Date ___________________________ Please make check payable to : Geneva Park District Foundation
Mail Form and Check to : Geneva Park District Attn : Geneva Park District Foundation 710 Western Avenue Geneva , IL 60134
Questions ? Call ( 630 ) 232-4542
Additional order forms are available online at www . genevaparkdistrict . org / foundation Please note : The Park District works hard to ensure the pavers are protected and Hawks Hollow remains beautifully maintained . Because pavers are made of natural and man-made materials , the colors can vary slightly from brick to brick and colors will fade during the first few years . Bricks are installed in the order they are received . Requests for placement in specific locations or sections are not allowed . Prices and availability are subject to change . Project done in cooperation with the Geneva Park District .
Resident Registration Day December 6 91