This is the opportunity to commemorate your family, friends or loved ones—even a business or organization—by purchasing an etched brick paver and having it placed along the edge of the new sidewalks at the Bastrop Public Library. Proceeds from the sale of the brick pavers will be used to order new books for the library.

A $50 gift will entitle you to a 4” X 8” paver with three lines for personalization that will be placed along the sidewalks that encircle the building. Your contribution is tax deductible.

Name:____________________________________________________________________
Address:__________________________________________________________________
Telephone Number(s):________________________________________________________

Each paver order must be placed on a separate form. Additional forms are available at the library or this form may be copied. When ordering more than one paver, the total cost can be paid with one payment. Please attach multiple orders together.

4” X 8” Brick Paver: _________ $50 Enclosed is my tax deductible contribution of $________________. Return this order form and payment to: Bastrop Public Library P.O. Box 670 Bastrop, TX; 78602 Please make checks payable to the Bastrop Public Library.

Please print clearly, in the spaces provided below, the name you want to appear on your paver. The only acceptable wording, besides the name of a company, individual(s) or organization, is “In memory of” or “In honor of”. You must leave a blank box to indicate a space. Only letters and numbers can be used. A 4” X 8” paver has three lines, with 11 spaces per line.

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