Your decorative brick paver will be
engraved with your selected name or phrase and
will become a lasting tribute for yourself, a loved
one, friend or anyone who has had a significant
influence in your life.
All profits from the sale of the pavers will be
used to fund the restoration of the four
fountains and landscaping around the
Historic Administration Building.
Each engraved paver can be purchased for $100
and will be beautifully
incorporated into the
landscape design.
Thank you for your support of this
exciting project!
Print your brick paver inscription on this form. Please fill in the spaces as you want them to appear on your brick paver. There are fifteen characters per line, including
spaces and punctuation. If you would like to purchase more than one item, please use a separate order form. Check your order carefully. The purchaser is responsible
for misspellings sent in on the order form.
Make Check Payable to the City of Atascadero
Mail to:
Line 1
City of Atascadero
Fountains & Landscaping Brick Paver Project
Line 2
City of Atascadero
6907 El Camino Real
Line 3
Atascadero, CA 93422
E-mail _______________________________________________________________________________________________
Address ____________________________________________ City, State, Zip __________________________________
Purchaser’s Name ______________________________________________Telephone ___________________________
To purchase a brick paver, complete the
attached order form and return it with your
payment of $100.
PERSONALIZED BRICK PAVER ORDER FORM
PERSONALIZE A BRICK!