THE
BEXLEY EDUCATION FOUNDATION
348
South Cassingham Road
Bexley Ohio
43209
(614)
338-2093
ext.
376
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Please print
and mail the following form.
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PIAZZA
DONATION FORM |
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QUANTITY
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| _______ Single
brick(s) (4” x 8’) at $100 |
PIease fill in your inscription: |
| _____Limestone
Paver(s) (12” x 12”) at
$750 |
(maximum of two lines
for bricks and four lines for lime stone
pavers:
1 line= 14 characters including spaces)
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| Enclosed is my check for $____________ |
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| Name: ____________________________
Class:_________________ |
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Address: _________________________ |
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| City/State/Zip: _____________________ |
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| Area Code/Telephone: _______________ |
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Please
make checks payable to
The
Bexley Education Foundation.
Mail
to BEF. 348 South Cassingham Road. Bexley, Ohio 43209. |