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Donation / Paver Order Form
Clear Form
I would like to make a donation to the Tampa Riverwalk
I would like to purchase a personal granite paver at $100 each
I would like to purchase a corporate granite paver at $250 each
Billing Information
* Required
Company:
Title (Optional):
-- Title --
Mr.
Mrs.
Ms.
Miss
Mr. and Mrs.
Dr.
First Name / MI / Last Name:
*
*
Street Address 1:
*
Street Address 2:
City / State / Zip Code:
*
- STATE -
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
*
*
Phone:
*
E-mail:
*
Publish my name in a listing of donors (uncheck to decline)
Add me to mailing list (uncheck to decline)
Paver Information
Each granite paver will have a four line maximum and no more than 18 characters per line, including spaces. Only capital letters will be used and the text on the paver will automatically be centered. Pavers will be engraved approximately every 30 days. If you have any questions please call 813-731-4509.
Line 1:
*
Line 2:
Line 3:
Line 4:
Paver Location:
-- Select Location --
Cotanchobee Ft. Brook Park
Curtis Hixon Waterfront Park
MacDill Park
Marriott Waterside
Platt Street
Tampa Bay History Center
South Plaza
USF Park
*
Riverwalk Map
Special Instructions: