Arlington Heights Park District
Brick & Tree Order Form

You can fill out this form online, but you cannot submit it online.


Print this form and mail to:
Arlington Heights Park District/Bricks & Trees
410 N. Arlington Heights Road
Arlington Heights, IL  60004

FAX to:
847-577-3050

or Drop-off at your Community Center
   
Make check payable to: Arlington Heights Park District
Or charge to:
  Visa    MasterCard    Discover   Charge Number
 Expiration Date /    Signature of card holder ___________________________
 
Purchaser's Information:
Your name
Address
City, State Zip
Daytime Phone
 
Send a gift letter to:
Name
Address
City, State Zip


Prices in effect 1/16/08-1/15/09

Bricks:  
Individual/Not for Profit $100
Business/Corporation $170
 
Print (or type), one letter per box.
Spaces and punctuation marks count as one letter.
Maximum 13 letters per line.


 
Trees:
$395 for (choose one) ornamental  shade  evergreen
Please plant tree at Park. (subject to approval by the Park District)