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Honor Walk Order Form


    To ensure a smooth checkout process, create your online account if you don't have one yet. For security reasons, all online payment forms require an online account.

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  3. Honor Walk at Upham Beach

    Brick Order Form - 2024 Brick Campaign

    Orders will be received from February 2024 to May 2024

    Installation will take place in October 2024

  4. Levels of Donation

    • Level One - $100 Donation - Donors receive an 8" x 8" brick
        - 6 lines of text
        - 20 characters per line

    • Level Two - Tree Brick - $300 Donation - Donors receive an 8” x 8” brick with tree icon
        - 4 lines of text
        - 20 characters per line

    Donations help to maintain the Honor Walk

    If you have a preference as to which recognition area you would like your brick placed, 
    please indicate it in the form below

    (As a point of reference, the plaques in each area honor special groups of people - North is military, the two middle are residents, and the South is City officials)

  5. Level of Donation

  6. Payment Info
    Honor Brick
  7. Price

    If choosing the Tree Brick option, please select if you would like the Tree on the Top or Bottom of the brick.
    Note: When choosing the Tree brick option, you are limited to 4 lines of text.

  9. 20 characters per line, a space counts as a character. We go by your lettering, i.e. capitalized letters, lower case letters, symbols, etc. (if ordering multiple bricks, please fill out one form for each brick ordered) 

  10. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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