Paver Campaign Final

CORTA Paver Campaign

Order Form
Full Name*

First NameLast Name
Contact No.*

Area CodePhone Number
E-mail*
Please print clearly. Line and character limits include spaces and punctuations.
4" x 8" Paver Details (up to 3 lines, 18 characters per line)
16" x 16" Paver Details (up to 14 lines, 28 characters per line)
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I would like to purchase 4" x 8" engraved pavers$200.00

I would like to purchase 16" x 16" engraved pavers$400.00

Total $0.00

Payment Methods

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Choose from one of the PayPal options to make your payment.