Purchase an engraved paving stone to permanently commemorate your support of OSPAC.  You may Print and remit this form to the address below by right clicking this content and selecting print.

I would like to purchase a Paver (please complete the inscription form below)

Patron Paving Stone 6 X 9   $ 100

 Pace Setter Paving Stone 6 X 9 Prime Location $ 150

Prime Path Paver 12 X 12 $ 250

Prestige Path Paver (Business/Corporate)  $ 500

Total Enclosed  $ _____

I am interested in Corporate Commemorative Plaques and Benches. ________

Please make checks payable to:

OSPAC
5 Yale Terrace
West Orange, NJ 07052

Patron and Pace Setter Paving Stone - 6 X 9 A maximum of three lines
14 characters per line including spaces and punctuation 

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Prime Path Paver and Prestige Path Paver - 12 X 12 A maximum of six lines, 16 characters per line including spaces and punctuation. 

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Please provide us with contact information so we can confirm your inscription. All contact information will be kept confidential

Name: _____________________________________________

Phone: _____________________________________________

Email: _____________________________________________