Commemorative Legacy Pavers How You Can Help AdoptMake a Donation Commemorative Legacy Pavers Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone*Commemorative Legacy Pavers* 4"x8" Paver(s) for $200 each (3 lines of type) 8"x8" Paver(s) for $500 each (5 lines of type) Leave a legacy gift to commemorate a special occasion, honor or memorialize a loved one or beloved pet, or provide a lasting message. Choose from a 4"x8" for paver with 3 lines of copy or our 8"x8" paver which allows for 5 lines of copy. *Each line consists of 18 letters and spaces. **Please note that logos or special art work would require an additional fee based on customization costs. HSEC is a 501(c)3 nonprofit. All donations are tax-deductible. For questions, special orders or custom designs and logos, please contact Maria at 574-475-HSEC (4732) or [email protected] Line 1Please include the wording above on my paver(s). Eighteen (18) characters per line including spaces. Available on both 4"x8" and 8"x8" pavers. Line 2Please include the wording above on my paver(s). Eighteen (18) characters per line including spaces. Available on both 4"x8" and 8"x8" pavers. Line 3Please include the wording above on my paver(s). Eighteen (18) characters per line including spaces. Available on both 4"x8" and 8"x8" pavers. Line 4 (only available on 8"x8" paver)Please include the wording above on my paver(s). Eighteen (18) characters per line including spaces. Fourth line only available on available on 8"x8" paver. Line 5 (only available on 8"x8" paver)Please include the wording above on my paver(s). Eighteen (18) characters per line including spaces. Fifth line only available on 8"x8" paver. Would you like an acknowledgement sent? This gift is in honor of: This gift is in memory of: Name of person being honored or memorialized Name of person to receive acknowledgement First Last Address of person to receive acknowledgement Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Total $0.00 CAPTCHAPayment MethodPayPal CheckoutCredit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Click here to download a pdf order form.
