Thank you for your interest in the Century Building Project!
Please fill out the below information. Be sure to include contact information, should we need to verify your request.

Each Century Building Plaque will cost $95.00. This covers not only the cost of the plaque but also a $30.00 tax-deductible donation to the Macalester-Groveland Community Council.

The finished plaque is approximately 8.5 x 5 inches with drilled holes for installation. You will be responsible for plaque installation.

Your family name and/or past owner names are optional; the address and year the property was built are required to be on each plaque.

Read the Century Building Project Expectations and Commitments here: https://tinyurl.com/y5y9gw6s
I acknowledge that I have read the Expectations and Commitments *
Required
Your Name *
Your answer
Address *
Please write out "Street" "Avenue" "Boulevard" etc.
Your answer
Names to be included on plaque (optional)
Include current and/or previous owners. There is a 32 character limit. All names must fit on one line of the plaque
Your answer
Year Built *
Your answer
Email *
Your answer
Phone
Your answer
Do you prefer to be contacted by phone or email? *
How would you like to pay? *
If paypal, please submit form and click "pay with paypal" on confirmation screen, or visit macgrove.org/100years
Submit
Never submit passwords through Google Forms.
This form was created inside of Macalester Groveland Community Council. Report Abuse