PAC Paver Campaign
Order Form
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Email *
Name *
Student's Name and Major (If Applicable)
Address *
Cell phone # *
Choose Donation Amount/Paver Size *
Required
12" x 12" Paver Details (up to 6 lines, 18 characters per line including spaces and punctuation)
6" x 9" Paver Details (up to 4 lines, 15 characters per line including spaces and punctuation)
6" x 6" Paver Details (up to 5 lines, 13 characters per line including spaces and punctuation)
Payment Method *
If you would like to pay via check, please make check payable to Friends of Las Vegas Academy and mail to:
Friends of LVA
c/o LVA Development Office
315 S. 7th St.
Las Vegas, NV 89101
Please review your Paver Details *
Required
A copy of your responses will be emailed to the address you provided.
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