* * * P R I N T A B L E   O R D E R    F O R M * * *

The Community Walkway Campaign
Rotary Centennial Park

Buy-A-Brick To Honor Someone - $60.00 per brick
Honoring our Friends and Loved Ones

Buy-A-Brick to be placed on the walkway at the Rotary Centennial Park in historic downtown Milton, located north of the Governor Pollock Bridge in Milton.

Lettering allows up to 3 lines per brick with up to 15 letters, spaces and/or punctuation marks on each line. ALL LETTERING IS CAPITALIZED AND CENTERED ON THE BRICK.

Name:	______________________________________________________
Address:	______________________________________________________
City:	___________________________   State:_____   Zip:________
Phone:	(_____) _______ - ____________

Create Your Engraved Brick

1 -   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

2 -   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

3 -   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

If your brick is a gift for a friend or loved one, T.I.M.E. will gladly send an acknowledgment.

Name on Brick:	__________________________________________________
Please send an acknowledgement to:
Name:	__________________________________________________
Address:	__________________________________________________
City:	________________________   State:_____   Zip: _________

Please return this form with a $60 check or money order made payable to T.I.M.E. and mail to:
      T.I.M.E., PO Box 534, Milton, PA 17847

If you have questions, contact the T.I.M.E. office at 570-742-7000.

Proceeds from the sale of engraved bricks will support the ongoing operating costs of the Walking Tour and the many community and international service projects of the Rotary Club of Milton.

• The park is one stop on the Milton Historic Downtown Walking Tour.
• All bricks will be placed in the scenic walkway through the park.
• Not just for Miltonians ... the scenic walkway was built as a place for honoring and recognizing friends and loved ones. The park and the scenic walkway are beautiful and dignified.
• Engraved bricks can be used to recognize births, deaths, weddings, love, friendship or to honor a business or community organization.