Boone County Veterans Memorial Paver Order Form

To purchase an engraved paver at the Boone County Veterans Memorial please fill out the form below. Pavers are 4” x 8” and cost $40.00. One form per paver.

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Paver Information

There is a 14 character limit for each line, including spaces and punctuation.

All letters will be capitalized. Please print the exact information you want engraved.

Line 1:

Line 2:

Line 3:

Payment can be made by check, cash, money order and credit card with payment made to: City of Florence. Payment must accompany this order form and can be dropped off or mailed.

Drop off location: Public Services, 8100 Ewing Boulevard, Florence, KY 41042. Business hours (8:30 am – 5:00 pm)

Mailed to: Public Services Department, City of Florence, 8100 Ewing Boulevard, Florence, KY 41042.

Signature*

Date*

This field is for validation purposes and should be left unchanged.