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Paver Inscription Form
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Paver Information
Paver Size
*
$360
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8" x 8" paver - 2 lines of text / 13 characters per line
$1,000
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8" x 12" paver - 4 lines of text / 15 characters per line *logo can be included at an additional cost
$1,800
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12" x 12" paver - 6 lines of text / 15 characters per line *logo can be included at an additional cost
Please enter below the wording to be inscribed on your paver. Be sure to follow the guidelines above indicating allotted characters per line. Please note: spaces count as characters.
*
Rutgers Affiliation (check all that apply)
Alum
Faculty/Staff
Friends of Rutgers Hillel
Parent
Student
Grandparent
Name at Graduation
First Name
Last Name
Class Year
Child 1 - Name
First Name
Last Name
Child 1 - Year of graduation (or expected)
Child 2 - Year of graduation (or expected)
Grandchild - Year of graduation (or expected)
Proposed Graduation Year
Department
Child 2 - Name
First Name
Last Name
Grandchild - Name
First Name
Last Name
Student Status
select one
Undergraduate
Graduate Student
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