Maryville, IL · Madison County
Centennial Plaza Brick Paver Order Form
Maryville donors use this form to order an engraved brick paver for Centennial Plaza and provide their contact information and inscription.
What this form is
The form lets donors order a 4-by-8-inch or 8-by-8-inch brick paver for Centennial Plaza. It asks for the donor’s name, address, phone number, and inscription, and lists prices of $50 and $100, respectively. The form says to print it and return it with a check payable to the Village of Maryville.
Who needs it
Anyone wishing to order a Centennial Plaza brick paver and submit an inscription should complete this form.
How to submit it
Print the form, make a check payable to the Village of Maryville, and return both to the Village Administration Building.
About notarization
This document is signed without a notary; the form asks for the donor’s information and inscription, and the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download and print the Centennial Plaza Brick Paver Order Form.
- 2
Complete The Order
Enter the donor’s name, address, phone number, and brick inscription.
- 3
Prepare The Check
Make a check payable to the Village of Maryville.
- 4
Return The Form
Return the printed form and check to the Village Administration Building.
Frequently asked questions
- Do I need a notary for the Centennial Plaza Brick Paver Order Form?
- No. This form does not require a notary; the signer just signs and dates it.
- How do I submit the brick paver order?
- Print the form, include a check payable to the Village of Maryville, and return both to the Village Administration Building.
- What brick sizes and prices are listed?
- The form lists a 4-by-8-inch brick for $50 and an 8-by-8-inch brick for $100.