The Rotary Club of Lake Norman /
 
 

The Rotary Club of Lake Norman / Huntersville, North Carolina

http://www.LakeNormanRotary.com

 

 
         
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The Huntersville Town Clock Project
Huntersville Town Center, Home of Discovery Place Kids

Order Form Step 1

To place your order online using a credit card for a brick that will be placed at the new Town Center, Home of Discovery Place Kids, you will need to first complete the order form below.  Once that is done, you will need to click on the submit button.  From that page you will then complete the payment process.  Orders placed that do not have a corresponding payment will not be completed.  Please be sure to complete both steps to ensure that your mark in Huntersville's history will be completed.  Any questions, please Contact Us.

Orders will be accepted on a first-come, first-served basis through January 15, 2010 February 15, 2010. 

If you prefer to pay by check instead of online with a credit card, please print out THIS FORM, complete all required information and mail a check to the address on the form.


STEP 1

DESIGN YOUR BRICK TEXT BELOW:

Please complete the form below completely.  We ask for your contact information in the event we need to contact you.  We are committed to keeping this information private to Rotary and only use the information collected for this fund raiser and other Rotary activities.  You will be able to opt out at anytime.

The bricks will be laser-engraved with your personal message EXACTLY as you type the information below.  The data entered will not be checked for spelling, etc, therefore please be sure to review what you have typed prior to submitting your brick donation.

You can order from one and up to four bricks on each order.  Bricks are $90 for one brick or $75 for two - four bricks per order.  Payment will be taken on the next page after completing the information below.

 

Your First Name:

Your Last Name:

Your Email Address:

Your Daytime Phone:

Your Evening Phone:

 

 

Insert your requested text below.  Each brick has a limit of 3 lines and 18 characters per line.  Each punctuation mark and each space counts as one character of the total allotted 18 characters in each line.

 

Line 1

 

Line 2

 

Line 3

 

 

 

Insert your requested text below.  Each brick has a limit of 3 lines and 18 characters per line.  Each punctuation mark and each space counts as one character of the total allotted 18 characters in each line.

 

Line 1

 

Line 2

 

Line 3

 

 

 

Insert your requested text below.  Each brick has a limit of 3 lines and 18 characters per line.  Each punctuation mark and each space counts as one character of the total allotted 18 characters in each line.

 

Line 1

 

Line 2

 

Line 3

 

 

 

Insert your requested text below.  Each brick has a limit of 3 lines and 18 characters per line.  Each punctuation mark and each space counts as one character of the total allotted 18 characters in each line.

 

Line 1

 

Line 2

 

Line 3

 

REMINDER:  The bricks will be laser-engraved with your personal message EXACTLY as you type the information above.  The data entered will not be checked for spelling, etc, therefore please be sure to review what you have typed prior to submitting your brick donation.

If you desire more than 4 bricks, please come back and place additional orders.

REMEMBER that your order is not complete until you have completed the information in the next page which will processed your donation payment.  Please proceed to the next page by clicking on the 'Submit' button below to complete your donation payment.
 

 

  New Page 1
Project Sponsored by

The Rotary Club of
Lake Norman-Huntersville

Thank you to all of our Donors for your generous contributions.

 

 

 

 

 

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To learn more about our club, including how to become a MEMBER or to be a GUEST SPEAKER, please visit our CONTACT US page and click on the applicable mail link.

Rotary Club of Lake Norman / Huntersville Website | Rotary District 7680 | Rotary International | Rotary Merchandise | Rotary History

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The Rotary Club of Lake Norman / Huntersville, North Carolina
PO Box 2306
Huntersville, NC 28070
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