Ogden Memorial Presbyterian Church

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To order your personalized paver, please complete the following order form and mail it with your check for $125 to:

Ogden Memorial Presbyterian Church

C/O Memory Walk

Main Street & Elmwood Avenue

P.O. Box 445

Chatham, NJ  07928

Each paver can have up to 3 lines of 13 characters (including spaces and punctuation). 

 

 

 

 

Inscription for paver - place only one character in each space

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

An acknowledgement will be mailed to you at:

NAME        ___________________________________________________________________

STREET      __________________________________________________________________

TOWN       ___________________________________________________________________

TELEPHONE (DAY)_________________________(Evening)___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For further information: 973-377-9293 or 973-635-5567