Please print or type the information in the blocks exactly as you would like it to appear on the tile(s). Please note: all two-line names will be placed on a garden tile. Don't forget to leave spaces where needed

Landscape Tile - 6 X 6 inches 1 line, 13 characters per line

Garden Tile - 6 X 6 inches 2 lines, 12 characters per line

Please print out this form and mail with payment to:
West Hurley Public Library, 42 Clover St., West Hurley, NY 12491

-Contributions are deductible to the extent allowed by law.-