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Ipswich River Park
Opportunities for Giving
Order Form

To contribute to the development of Ipswich River park through Brick Sponsorship or other contribution, print and complete this Order Form and send it with your check payable to:
North Reading Parks Department, 235 North St., North Reading, MA 01864

For further information, call Maureen Stevens (978) 664-6016, at the North Reading Parks & Recreation Department

Basic Order Form

Use this order form for Sponsorship of Items and Brick Sponsorship. Sponsorship of items other than bricks  will be recognized with a plaque. A Representative from the Parks Department will contact you for proper plaque identification.

____ Check if you would like a representative to contact you to discuss these other sponsorship opportunities.

Name: _______________________________
Street: _______________________________
State/Zip: _______________________________
Telephone: _______________________________
Sponsor Item: _______________________________
Amount Enclosed: $______________________________

Brick Sponsorship

Bricks may be personalized with names or messages. Basic Bricks ($100.00) may include up to 3 lines, 15 characters per line; Prestige Bricks ($200.00), up to 5 lines.

___ Basic Brick (4"x8") $100
___ Prestige Brick (8"X8") $200

Brick Message

Fill in your message in the blocks below, using capital letters. (Spaces and punctuation count as characters; 15 characters maximum per line.) BASIC: 3 lines; PRESTIGE: 5 lines.