Order Form

Lightkeeper’s Landing Granite Paving Blocks

 

All proceeds go directly to the preservation of the Huntington Lighthouse and are tax deductible!

 

Complete (PLEASE PRINT) the form below and mail your check payable to “SHL”.  Circle desired size.

 

 

4 x 4* 4 x 8 8 x 8 8 x 8 w/Logo
$100 $150 $300 $500

         

13 CHARACTERS PER LINE FOR 8 INCH BLOCKS

*6 CHARACTERS PER LINE FOR THE  4 X 4 BLOCK

 

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Name:__________________________________ Street:__________________________

 

Town:__________________________________State:________Zip:________________

 

PHONE:_______________________           Order No.______________

 

Please print clearly!  We must have your phone number in case we have a question!  Engraving will be in capital letters.  The manufacturer will center the text at the time of engraving. 

 

Send to:  Save Huntington’s Lighthouse, P.O. Box 2454, Halesite, NY  11743

Telephone:  (631) 427-2636 Pam