Bronco Paver Order Form

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Bronco Paver Order Form Brandeis Bronco Athletic Booster Club Guidelines for purchasing Bronco Pavers:    

Must be a current or former letterman in good standing (includes managers and trainers). Limited to one Bronco Paver per qualifying athlete, manager or trainer. Inscription limited to Name and Class Year (Class of 20XX). Name line will only be extended to a second line if First and Last Name including space exceeds 14 characters.  Order and installation will be conducted in two distinct time periods per year:  Orders placed by 15 January will be purchased and installed NLT the end of the school year;  Orders placed by the end of the school year will be purchased and installed by the beginning of the next school year;  The purchasing and installation time periods are subject to change at the Booster Club’s discretion. Each line is limited to 14 characters INCLUDING SPACES. Use the spaces below to enter the athlete’s name. Use the first line for the full name unless the full name exceeds 14 characters including the space(s). If you have any questions, please ask the Booster Club Paver POC before submitting order form. LINE ONE (enter full name with space if it will fit. Name will be centered accordingly)

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LINE TWO (use only if full name will not fit on Line One. Name will be centered accordingly)

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"Class Of" Line (Complete graduation year for athlete)

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Enter the sport(s) the athlete lettered in and the year(s) lettered.

Check One

Price $100.00

I am Booster Club Member or former Booster Club member; provide year(s):_______________________

$125.00

I am not a Booster Club Member.

Print Name:__________________________________ Signature:________________________________

Date:__________________ Paid (Check Number):_______________________