Paver Form - Thousand Islands Arts Center

Step Up For The Arts! Paver Purchase Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Paver Size(Required)

12″x12″ – 5 lines/ 15 letters per line

12″x24″ – 5 lines/ 15 letters per line

24″x24″ – 6 lines/ 15 letters per line

Line 1

Line 2

Line 3

Line 4

Line 5

Line 6

(24″x24″ only)