Brick/Paver Form

Commemorative Benches at Lehigh Valley Zoo

Bench Locations:

Bench locations are on a first come, first served basis. Locations are not guaranteed until you have submitted your application and have received confirmation of its availability.

Outside of Restrooms
Outside of Secondary Restrooms
Lower Road Info Kiosk
Lower Entrance
Auxiliary Entrance
Playground
Preston's Place
Wolf Den
Lorikeet Exhibit
Birds of Prey Exhibit

Plaque Details:

Heavy cast bronze
Lifetime Coating Warranty
Raised letters with single-line beveled edge border
Font: Helvetica
Medium Plaque - 8” w x 2” h
- 3 lines of text
- 20 characters/spaces maximum per line
Large Plaque - 10.5” w x 3” h
- 4 lines of text
- 28 characters/spaces maximum per line
Character heights determined by amount of text
Option to emphasize certain lines or words with larger font

Bench Information

Amount

Please enter your inscription for the MEDIUM Plaque

Medium Plaque Line 1

Medium Plaque Line 2

Medium Plaque Line 3

Please enter your inscription for the LARGE Plaque

Large Plaque Line 1

Large Plaque Line 2

Large Plaque Line 3

Large Plaque Line 4

To request certain lines or words emphasized with larger font, please explain below:

*** A proof of your plaque will be provided for final approval.

Please indicate your top 3 preferred locations.

Contact Information
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Last Name

Company Name
Address

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City

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Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $2,500.00 to go to Lehigh Valley Zoo and I will donate a total of $2,575.00.No. I will donate $2,500.00 and Lehigh Valley Zoo will cover the processing costs.

Credit Card Information
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