Test Paver form New - Magyar Millennium Park

Paver options and information

Single Paver (outer circle)
$60 + suggested donation $60 – total $120

Single Paver (inner circle around kopjafa)
$60 + suggested donation $160 – total $220

Double Paver (outer circle)
$120 + suggested donation $80 – total $200

Double Paver (inner circle around kopjafa)
$120 + suggested donation $180 – total $300

I’d like the following engraved on my paver:
(Note: – no more than 32 characters including spaces per paver)

0 / 32

Single paver example

(Note: Text on pavers will be centered)

Single paver example

As part of a family group, I wish to have my pavers placed with or near the following:

Contact information for person purchasing paver

Please select from the following options by ticking the appropriate box.

Note: The actual cost of the paver (plus freight) is shown separately, as it is not tax deductible, however donations made (suggested donation) are tax deductible and will be separately receipted to enable New Zealand taxpayers to claim a tax rebate. (All donations contribute to the maintenance of the park.) (If you require more than 1 paver, please use a separate form for each paver’s details.)

Name

Address

Contact telephone

Email address

Paver options and information

Contact information for person purchasing paver

Confirm Paver information

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