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UHS ATHLETIC GATEWAY

12" x 12" UHS Athletic Gateway Paver Order Form


Please use a separate form for each brick you intend to purchase. Please print in capital letters only as you wish the inscription to appear on the block.

12 inches by 12 inches costs $500. Please fill out up to 19 characters for each of the nine lines below.

Icons Available — 2 icons per brick max / please allow 3 spaces on 2 lines per icon. Download the Paver Icon PDF that shows all available icons, and describe the icon (page, what it depicts) in the space provided below.

After entering and confirming your information, you will directed to PayPal to complete the paver buying process.

For questions about icons, please email us.

  • Paver Text

  • 19 Character Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • 19 Characters Max

  • Please refer to the Paver Icon PDF for more information, or contact us at info@urbana-alumni.com

  • Contact Information

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Download Paver icons