To purchase a personalized engraved paver for the Panama City Lighthouse, please complete the form below.  You may pay by check, credit card or PayPal.  If paying by credit card all information submitted must exactly match the account information for the specific card used or the charge will not be completed. (Name, Address, Phone, Etc.)  If you do not get a confirmation of receipt return e-mail, your order was not properly processed.  When ordering multiple bricks, each order must be entered separately.

 

Paver donations are as follows:

Friend ($50) (Payable online)

Patron ($1,000) (Payable via check)

Benefactor ($2,500) (Payable via check)

Cornerstone ($7,500) (Payable via check)

All contributions, cash, check or credit cards (including paver purchases) to the Panama City Lighthouse are tax decuctible. The Panama City Lighthouse is a 501(C)3 organization under the IRS code.

 

If paying by check,

MAKE CHECKS PAYABLE TO: "Panama City Rotary Lighthouse Project Inc."

MAIL CHECKS TO: PO Box 35505, Panama City, FL 32412

 

***Paul Brent Lithographs to take 6-8 weeks for delivery***

 

The Panama City Rotary Lighthouse Project Inc. is registered with the State of Florida, Department of Agriculture and Consumer Services. Our charitable solicitation number is CH23445. We do not employ a professional fundraiser. 100% of each contribution is utilized by the Panama City Rotary Lighthouse Project Inc.. A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling 800-435-7352 within the State of Florida or at www.800helpfla.com. Registration does not imply endorsement approval or recommendation by the state.

First Name

Last Name

Address

City

State

Zip Code

Phone

Email

     

Paver Type

Engraved as Follows

15 Characters/Line, 2 Line Max


Line 1 to read as follows

Line 2 to read as follows

Would You Like to Purchase
a Paul Brent Lithograph?

Comments

Payment Method

   

To purchase multiple pavers, you must complete the form once per paver.