Mount Wesley
FOOTSTEPS IN FAITH
Engraved
Pavestone Order Form
Payment Information: Make checks and money orders payable Southwest
Texas Conference United Methodist Church, indicate "for
Mount Wesley Pavestone" on check, and mail to:
Mount Wesley Conference Center, 610 Methodist Encampment Road, Kerrville, Texas 78028
| ____ @ $50.00 = ___________ No of Bricks |
_______ Check#
_________ _______ Money Order _______ Cash |
Individual to Contact for Verification of Information
Name:
__________________________________________Work Phone: ( __)_________
Address: ________________________________________Home
Phone: (___)_________
Street
City
Zip
Name of Indiv./Org. to be identified as
purchaser/donor: ________________________________________________________________
Indiv./Org. to whom Certificate should be mailed:
_________________________________________________________________
Address:
Street
City
Zip
Pavestone Engraving InstructionsThe 4"
x 8" pavestone will accommodate 3
lines of 14 characters each. Fill in the grid, leaving a space
between the words; don't worry about centering the text
the engraver will do that! Make sure all
abbreviations communicate your true intent. Your message
must fit -- no exceptions!
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
|
A |
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B |
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C |
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(Detach and retain for your records)
Mount Wesley Engraved Pavestone
Date Paid ____________ Payment Tendered $ __________
Check No.___________ Cash ____________ Money
Order ________