To order a paver please complete the blocks below.  You may use the back of this form or a separate sheet of paper for additional pavers.  Limit each line to 15 letters and spaces.  If a paver is printed wrong, we will refer back to this form.  If the mistake is your fault, you will be required to purchase another paver.  If the mistake is SBEA's fault we will pay for a new paver.   
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Line 2         
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Purchasers Name ________________________                            Make Checks or Money Orders Payable to:
Phone _________________________________                          Spirit/Boeing Employees' Association or SBEA
Address________________________________                          4226 South Gold, Wichita, Ks  67217
City/State/Zip ___________________________                          (316) 522-2996  Fax (316) 522-2401
Brick Pavers __________x $25 = ___________                           Mail Code  K 30-35   Plant Mail
Granite Pavers ________ x $50 = ___________                           SBEA Main Store  (316) 526-2111
                         Total Paid  _________________