Berkeley, IL · Cook County

No notary required

Brick Paver Program Order Form

Individuals, families, and businesses use this form to order personalized engraved brick pavers for installation in the Village of Berkeley Plaza.

What this form is

The Village of Berkeley uses this order form for personalized 4-by-8-inch engraved brick pavers for the Village Plaza. Orderers enter an inscription of up to three lines, with 14 characters per line, and provide their contact details and payment. Orders are placed when at least 10 forms have been received; the form states that refunds are not allowed after an order is placed.

Who needs it

Individuals, families, or businesses who want to purchase a personalized brick paver for the Village Plaza should complete this order form.

How to submit it

Return the completed form and payment to the Village of Berkeley, Brick Paver Program, 5819 Electric Avenue, Berkeley, IL 60163. You may also drop it off at Village Hall or place it with payment in the parking lot dropbox.

About notarization

This brick order form is completed without a notary; it requests no sworn attachment, and the purchaser simply provides the order details and payment.

How to submit this form

  1. 1

    Download the Form

    Download the Brick Paver Program order form.

  2. 2

    Complete the Order Details

    Print your inscription in capital letters, using no more than three lines of 14 characters per line, and provide your contact details.

  3. 3

    Gather Payment

    Include payment for the number of bricks ordered; the form lists a price of $50 per brick.

  4. 4

    Submit to the Village

    Return the form and payment to the Brick Paver Program address, drop it off at Village Hall, or use the parking lot dropbox.

Frequently asked questions

Do I need a notary for the Brick Paver Program Order Form?
No. This form is completed without a notary and requests no sworn attachment; provide the order details and payment.
How do I submit the brick paver order form?
Return the completed form and payment to the Brick Paver Program at 5819 Electric Avenue, Berkeley, IL 60163, drop it off at Village Hall, or use the parking lot dropbox.
What inscription can I put on a brick?
The form specifies a maximum of three lines with 14 characters per line, including spaces. Print the inscription in capital letters.
How much does a brick paver cost?
The form lists each 4-by-8-inch brick paver at $50. It says orders are placed when 10 or more brick order forms have been received.

Need something notarized?

This Brick Paver Program Order Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.