Please print this page and bring it to the Library to contribute your piece of the pie.

PURCHASE ORDER FOR PAVER
TO BENEFIT ROSLYN CITY HALL/LIBRARY/
COMMUNITY CENTER RENOVATION PROJECT

PURCHASED BY: _____________________________________
ADDRESS: ___________________________________________
PHONE NUMBER: ____________________________________
DATE: ____________ DATE PAID:_________________________
 

CHARACTERS ON THE PAVER ARE LIMITED TO NAMES AND DATES ONLY, WITH THREE LINES OF TEN CHARACTERS AND/OR SPACES IN EACH LINE. SPACES ARE INCLUDED IN THE COUNT. COMPLETE THE FORM BELOW WITH ONE CHARACTER/SPACE PER BOX. (FRIENDS OF THE ROSLYN LIBRARY RESERVE THE RIGHT TO REJECT INAPPROPRIATE WORDING.)

WORDING ON PAVER

Line 1:__________________________________________________________

Line 2:__________________________________________________________

Line 3:___________________________________________________________

PRICES:
$100 EACH     QUANTITY DISCOUNTS*:
6 PAVERS FOR $500
12 PAVERS FOR $1000
18 PAVERS FOR $1500
*QUANTITY PURCHASES SHALL REFLECT DISCOUNT PRICE PLUS $100/PAVER PRICE TO NEXT PRICE BREAK: 7 PAVERS = $500 (DISCOUNT FOR 6) + $100 FOR 7TH PAVER= $600.

MAKE CHECKS PAYABLE TO THE FRIENDS OF THE ROSLYN LIBRARY. YOUR PURCHASE MINUS THE FAIR MARKET VALUE OF $10 PER PAVER IS TAX DEDUCTIBLE.

THE FRIENDS OF THE ROSLYN LIBRARY THANK KNUDSON LUMBER AND WILL JOHNSON OF GLYPTIC CONCEPTS FOR DONATING TIME AND MATERIALS TO SUBSIDIZE THIS FUNDRAISING PROJECT.

FRIENDS OF THE ROSLYN LIBRARY, PO BOX 399, 201 SOUTH FIRST ST., ROSLYN, WA 98941.
(509) 649-3420.