St. John's Catholic Newman Center Paver Order Form
Leave your mark at St. John's Catholic Newman Center with a Memorial Paver in the SJCNC North Courtyard. Two sizes of contrasting brick pavers are available: light grey or terra cotta brown. Pavers can be engraved with a custom message to honor a special occasion or a special someone.

Examples include:
• In memory of a family member
• In honor of priests, sisters, teachers, friends, and roommates
• To commemorate your graduation
• To commemorate your wedding, baptism, or confirmation
• To highlight your Koinonia retreat(s)
• To remember a favorite saint or scripture passage

Upon order submission, SJCNC will contact you to confirm your order and inscription, and to arrange payment for the paver.
Email *
Name *
Spouse Name
Address *
Email Address *
Phone Number *
Recipient Name(s)
If this is a gift, please complete Recipient Information so that we may notify the recipient on your behalf.
Recipient Address
Recipient Relationship to You
Choose Your Paver *
Paver Inscription *
For large pavers, messages may be 16 characters across with a maximum of 7 lines. For small pavers, inscriptions may be 11 characters across with a maximum of 5 lines. To save space, do not use periods after abbreviations. Spaces count as characters.All text will be centered on paver. Inscriptions are subject to the approval of SJCNC administration
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.