Pavers Order Form

Honolulu Rose Society

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HRS Members Only Site

UGC Rose Garden Pavers
Order Form

Paying by check?
Download printable form here

Complete the following information below:

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Step 1: Select Paver Background Color *

Granite Black Terra Cotta Red

Step 2: Select Rose Design *

Tranquility Bud Eternal Bud Graceful Bud Perfect Moment Gloriously Open

Step 3: Select Rose Color *

Red Pink White Yellow Mauve

Step 4: Select Nameplate Title *

Rose Garden Supporter Mahalo In Memory Of In Honor Of

Step 5: Name Written on Nameplate *

First

Last

OPTIONAL - In Memory name plate only: You may include one line (max 35 characters spaces) *

Optional - In Memory name plate only: You may add one line up to 35 character spaces.

Step 6: Select Sponsorship Level *

$100 Bronze ($89 tax deductible) $250 Gold ($239 tax deductible) $500 Platinum ($489 tax deductible)

PROCEED TO PAYMENT

Sample Paver:
- Granite Black
- Eternal Bud
- Yellow

Sample Paver:
- Terra Cotta Red
- Tranquility Bud
- White

1. Paver Background Color

Granite Black

Terra Cotta Red

2. Rose Design

Tranquil Bud

Eternal Bud

Graceful Bud

Perfect Moment

Gloriously Open

3. Rose Color

Red

Pink

White

Yellow

Mauve

Disclaimer:
While the advice and information on this web site is believed to be true and accurate, the Honolulu Rose Society cannot accept any legal responsibility for any errors or omissions that have been made. The Honolulu Rose Society makes no warranty, expressed or implied, with respect to the material contained herein.

UGC Rose Garden PaversOrder Form

Complete the following information below:

1. Paver Background Color

2. Rose Design

3. Rose Color

UGC Rose Garden Pavers
Order Form