| In
recognition of your generous support, the Challenger
Learning Center will include your name or message as a
part of the "Challenger DonorArt® Display". Please choose the tile size that
corresponds to your donation amount. Indicate the message
you want engraved on the recognition tile. Please note
that spaces and punctuation count as characters.
| 12" x 12"
Tile Inscription Area ( 24 characters per line,
up to 2 lines.) $1,000 |
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| 6" x 6"
Tile Inscription Area ( 14 characters per line,
up to 2 lines.) $500 |
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| 3" x 6"
Tile Inscription Area ( 14 characters per line,
up to 2 lines.) $100 |
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Customer Name
___________________
Address: ________________________
Phone: __________________________
# Tiles ordered: ___________________
Amount Enclosed: __________________
Print and mail this form along with check made payable to
Challenger Learning Center of Arizona to
Challenger Learning Center of Arizona, 21170 N. 83rd
Avenue, Peoria, AZ 85382
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