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Your Information <br />each <br />SPECIAL PRICE - Order your engraved brick by <br />Mini-Brick Replica $8.00 $25.00 <br />February 8, 2010, and receive the Mini-Brick <br />This mini brick is a mini replica of your brick and <br />Replica for only $8 (regular price $25). <br />can be used as a paperweight, fridge magnet, or <br />Name <br /> <br /> <br />given to a loved one or friend as a remembrance. <br />Bricks will be placed in the Arboretum walkway <br />Address <br />The mini brick for the 4Ò x 8Òengraved brick is <br />between the fountain and the Shirlie Klaus <br />1Ò Đ x 3Ò. For the 8Ò x 8Ò engraved brick 3Ò x 3Ò. <br />Pavilion. Placement beyond that area will depend <br /> <br />on demand. <br /> <br />E-Mail address <br />e <br />l <br />p <br /> <br />m <br />a <br /> <br />x <br />E <br />Normal order time is 10 - 12 weeks, however we <br />Phone <br />are putting together a plan to eventually replace <br /> <br />What you would like ordered <br />current bricks with NEW lifetime guaranteed <br /> <br />bricks. Orders will be taken until Feb 8, 2010. <br />$100.00 <br />4Ò X 8Ò Brick _______ <br />Then placed in the Arboretum in early Spring <br /> <br />2010. <br />$200.00 <br />8Ò X 8Ò Brick _______ <br /> <br /> <br />$5.00 Each <br />Clipart image _______ <br />You may reserve an area or a future spot for an <br />$8.00 Each until 2/8/10 <br />Mini Brick Replica ___ <br /> <br />engraved brick by pre-paying for a specific <br />location. <br />TOTAL <br /> <br />$5.00 each <br />Clipart Images <br />Please specify Clipart image here: <br />Each engraved line and/or image will be <br />automatically centered. <br /> <br /> <br /> <br />Customized product Ð sorry, no refunds. <br /> <br /> <br />When your brick has been placed in the walkway, <br /> <br />you will be contacted to inform you of the <br />NOTES/Special Requests: <br />approximate location of the brick. <br /> <br /> <br /> <br />If you would like an acknowledgement certificate <br />sent to a gift recipient, please indicate in the notes <br /> <br />area who we should send that to. <br /> <br /> <br />Method of Payment <br />Example <br />Central Park Foundation is a non profit 501 (C3), <br />Check: To ÑCentral Park FoundationÒ <br /> <br />therefore your brick purchase is tax deductible. <br />Visa <br /> <br />For additional available clipart, please ask for the <br />MasterCard <br />For other ways to donate to Roseville Central Park <br />American Express <br />clipart list, or let us know what youÔre looking for. <br />Foundation (CPF) contact Roseville Parks and <br /> <br />Recreation (651-792-7006) or stop by the Parks <br /> <br />Credit Card # <br />Company logos and personalized images have a <br />and Recreation Department at Roseville City Hall, <br />onetime programming fee that starts at $75. <br />2660 Civic Center Drive, Roseville, MN 55113. <br /> <br />Signature for Credit Card Exp. Date <br /> <br />Personalized images and company logos can be <br />Visit CPF online at: www.Rosevillecentralpark.com <br />Mail this section of the order form to: <br />e-mailed in 300 dpi or higher with the following <br /> <br />Roseville Central Park Foundation - Attn: Brick orders <br />extensions: .PLT, .CDR, .EPS, .JPG, .PCX and <br />For questions on brick orders contact <br />2660 Civic Center Drive <br />BMP. <br /> Kara at 651-792-7103 or e-mail <br />Roseville, MN 55113 <br />kara.thomas@ci.roseville.mn.us. <br /> <br />