Eloy Lions Club Memorial Brick Paver Project ORDER FORM
SUPPORT ELOY FAMILIES & FRIENDS
Scholarship Programs * Charities * Vision Care * School Supplies

MEMORIALIZE ELOY HERITAGE
Inscriptions to honor Eloy history & heritage, family names & businesses, memorials, celebrations, parents, grandchildren, school, academic & sports achievements & championships, and more. (subject to approval)

PERSONALIZED PAVERS - $100 each
1 to 3 lines per paver, with up to 20 spaces (letters & numbers) per line - Size: 4" x 8" x 1 ½  
Pavers will be professionally installed at the Eloy Lions Club location, just south of Main Street  

ORDER PAVERS
Please complete the online order form below.  After you hit the "Submit" button at the bottom of this form, a pop-up window will provide an option to "Submit another response", if you would like to order more than two pavers.    
If you would like a separate hard copy order form emailed to you, please send your request to eloylionsclub@gmail.com.
   
PAYMENT OPTIONS - CHECK OR PAYPAL  [You do not pay with this order form]
To pay by check ("Eloy Lions Club"), please mail it to Eloy Lions Club, P.O. Box 71, Eloy, AZ  85131.  
To pay with PayPal, search "eloylionsclub@gmail.com" on the PayPal App (https://apps.apple.com/us/app/paypal-mobile-cash/id283646709) or click here www.PayPal.com for the PayPal website.  Do not send cash by mail.  If you prefer to pay in cash, please email the club or call 520-237-8648 and make arrangements to pay in person.

Small bulk paver orders will be submitted to the manufacturer periodically.  You will be contacted at the email address you provide (below) when we have a delivery update.

QUESTIONS?  Add a comment or question after the personalization section, below.  You may also email eloylionsclub@gmail.com or call 520-237-8648.  

Thank you!  
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Email *
PERSONALIZE WITH 1, 2 or 3 ROWS
PAVER #1 - Enter Line #1 Personalization - no more than 20 spaces (letters or numbers) per line *
PAVER #1 - Enter Line #2 Personalization - no more than 20 spaces (letters or numbers) per line
PAVER #1 - Enter Line #3 Personalization - no more than 20 spaces (letters or numbers) per line
PAVER #2 - Enter Line #1 Personalization - no more than 20 spaces (letters or numbers) per line
PAVER #2 - Enter Line #2 Personalization - no more than 20 spaces (letters or numbers) per line
PAVER #2 - Enter Line #3 Personalization - no more than 20 spaces (letters or numbers) per line
Your full name (contact) *
Your mailing address, city, state & zip code  (will not be shared)
Your phone number  (will not be shared) *
Questions?  
PLEASE CHOOSE YOUR METHOD OF PAYMENT BELOW:  Pavers are $100 each.  Payment is not processed in this order form.    Please choose your method of payment (below) by choosing either PayPal or Check and then hit the "submit" button located at the bottom of this order.  
PLEASE CHOOSE ONE OF THE FOLLOWING OPTIONS:
I will pay via PayPal after I submit this order.   PayPal App & website links (if needed) are in your email.
Clear selection
I will mail a check after I submit this order.  Check:  Made out to "Eloy Lions Club" and sent to Eloy Lions Club, PO Box 71 Eloy, AZ 85131 (Please reference "Paver Order" on your check)
Clear selection
Scroll down to SUBMIT your order
A copy of your responses will be emailed to the address you provided.
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