Paver Form

Connect-to-Cap Walkway Paver Confirmation R et u r n t h is for m b y J u ly 30, 2010 if you wou ld lik e t o p er son a lize you r p a ver. Please note that the boxes indicate the maximum number of characters per line and lines per paver. The pavers will be in chronological order by section. Please include your class year on your paver. IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII If you have donated in memory of a Cap member or for a special commemoration, you can provide the information for those pavers on the back of this form. Please provide any special requests or information so we can be sure your pavers are engraved and placed according to your wishes. Please tell us how to reach you if we have questions about your paver: Phone ___________________________ Email ___________________________ P lea se r et u r n com p let ed for m b y J u ly 30, 2010 Use the envelope provided or mail to PO Box 1448, Princeton, NJ 08542. If you have any questions, please contact Valarie Bay, our Campaign Coordinator at vjbay@aol.com or by phone at 908-797-8459.

Please use this side if you have donated in memory of a Cap member or for a special commemoration. I have donated in memory/honor of (please print clearly in the boxes below): IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII I have donated in memory/honor of (please print clearly in the boxes below): IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII I have donated in memory/honor of (please print clearly in the boxes below): IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII IIIII IIIII IIII IIIII IIII P lea se p r ovid e a n y sp ecia l r eq u est s or in for m a t ion so we ca n b e su r e you r p a ver s a r e en gr a ved a n d p la ced a ccor d in g t o you r wish es.

Paver Form

by CapandGownClub on Jun 28, 2010

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Paver Form — Document Transcript