Paws To Remember Order Form CompanyThis field is for validation purposes and should be left unchanged."He is your friend, your partner, your defender, your dog. You are his life, his love, his leader. He will be yours, faithful and true to the last beat of his heart. You owe it to him to be worthy of such devotion." Remember your pet by purchasing a memorial brick with his/her name engraved upon it to be placed at the walkway entry of Cooper Dog Park. Your purchase will help maintain the park and be a lasting tribute to your dog. Please help provide a place of enjoyment for all park users, both present and future.Name(Required) First Last Phone(Required)Email(Required) Choose Your BrickPrices and sizes of bricks are as follows: 4" x 8" paver with 2 lines of text -- $50.00 4" x 8" paver with 3 lines of text -- $60.00 8" x 8" paver with 1-4 lines of text -- $80.00 8" x 8" paver with 5 lines of text -- $90.00 12" x 12" corporate paver with up to 8 lines of text -- $250.00 12" x 12" corporate paver with logo -- $329.00 Upload Corporate LogoMax. file size: 1 MB. Additional ShapesShapes of hearts, dog bones, and paw prints are available. Please allow for 3 spaces per shape.Hearts Quantity Price: $10.00 Quantity Dog Bones Quantity Price: $10.00 Quantity Paw Prints Quantity Price: $10.00 Quantity TotalTotal Create Your Memorial BrickCreate your message in the lines that will appear below once you've chosen your brick size. Each line has a 13 character limit. All lettering will appear in capital letters on your memorial brick. Indicate where you would like your shape(s) by typing *** in the line and area you would like it to appear.Line OneLine TwoLine ThreeLine FourLine FiveLine SixLine SevenLine EightPaymentYou may make a payment for your memorial brick online or by mail.I choose to pay for my memorial brick by: Mail Online Donation You've selected to send your payment by mail. Please make checks payable to Bartlesville Community Foundation with Cooper Dog Park in the memo line. Mail your check to: Cooper Dog Park 208 E Fourth St, Bartlesville, OK 74003You've selected to send your payment online through our fund at the Bartlesville Community Foundation. After you hit "Submit" below, you'll be taken to our confirmation page with a link to pay for your brick online. Please follow this link to the Bartlesville Community Foundation's Cooper Dog Park Fund and enter your memorial brick total in the "Other" field.CAPTCHA The Scoop Dog of the Month Entry Paws To Remember Order Form Volunteer With Us Park Rules Dog of the Month November’s Dog of the Month: Daisy Duke October’s Dog of the Month: Aces Diamond September’s Dog of the Month: Molly August’s Dog of the Month: Sissy July’s Dog of the Month: Charlotte
