Commemorative Pavers
Inscribe a name, a memorial or your organization on a 4”x8” terracotta brick that will be installed on the Reading Terrace at the beautiful Main Library in LaGrange.
Cost is $50 per brick.

Purchasing as a gift? The Library will send a thank you and acknowledgment to your recipient!

You will be invoiced for payment once your order is placed. If you have questions, please email Bethanym@oldhampl.org

Purchased by: *
Your answer
Phone number: *
(for questions about your order)
Your answer
Email *
(for invoice and purchase confirmation)
Your answer
Address: *
Your answer
Is this a gift? *
If you would like an acknowledgment sent to the recipient, please list their name and address.
Your answer
Payment
How would you like to submit payment?
Inscription
Up to three lines, 20 characters per line maximum, including punctuation and spaces. The Library reserves the right to edit all inscriptions.
Line 1
Your answer
Line 2
Your answer
Line 3
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms