Visit, Shop & Dine
Paver Form
Rehoboth Beach Main Street, Inc.
PO Box 50
Rehoboth Beach, DE 19971
(302) 227-2772 phone
(302) 227-0149 fax
NOW SELLING: A LIMITED NUMBER REMAINING!
RESERVE YOUR PLACE
in Downtown Rehoboth Beach - Purchase a Paver
Celebrate with one (or more!) of a limited number of engraved brick pavers to be installed spring 2009 at the new bandstand pavilion adjacent to the boardwalk. Commemorative pavers will fund Rehoboth Beach Main Street projects that DIRECTLY benefit downtown beautification - facades, sculpture or benches - whatever Main Street can do to help downtown stay attractive and vibrant!
Donation: $150 each (100% Tax Deductible)*
Engravings are limited to individual or business names. The first line may say “In honor of” or “In memory of” if you choose. Otherwise only names may be inscribed. No dates or other wording permitted. Each paver may contain up to three (3) lines with 15 characters per line (lines will be centered). Spaces & punctuation, such as dashes or commas are counted as a character. Rehoboth Beach Main Street reserves the right in its sole discretion to change or deny any application and return the paver donation.
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(remember: no dates or other wording, just names!)
Name ____________________________________________________
Address ____________________________________________________
City, State, Zip ____________________________________________________
Daytime Phone (________) __________________________________________
E-Mail ____________________________________________________
Make checks payable to:
Rehoboth Beach Main Street, PO Box 50, Rehoboth Beach, DE19971
We also accept Visa or MasterCard (see reverse side of this form).
o This paver is being purchased as a gift. Please send a certificate of acknowledgment to me that I can pass along to the recipient. (An extra $5 donation is suggested.)
* Rehoboth Beach Main Street, Inc. (RBMS) is a 501(C)3 non-profit organization and donations are tax deductible to the fullest extent of the law. Neither RBMS nor the City of Rehoboth makes an absolute claim that these engraved pavers will remain at this site in perpetuity. However, we expect them to remain on site for years and years, well into the future, barring unforeseen circumstances requiring movement for infrastructure changes or natural disasters!!!!! There will be no guarantee of specific placement of the pavers. This is the fine print!
If you would like to pay with a VISA or MasterCard…
Please fill out this section and send it back with your paver form in the mail (to RBMS Paver Program, PO Box 50, Rehoboth Beach, DE 19971) or via fax to (302) 227-0149:
Name on card: _________________________________________
Card Number: _________________________________________
Expiration Date: _________________________________________
Billing Address: _________________________________________
Zip Code: _________________________________________
Phone number: _________________________________________
Amount to be charged: _________________________________________
Signature: _________________________________________
We will call you if we have any problems running your card.
We will mail you your receipt.