Paver Form

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
How did you hear about the Walk of Fame Paver Program?
Location/Block of Choice:

(Ex. 1700 Block of 7th Avenue, northside or near a specific business address)
What would you like engraved on your paver?

You are allowed up to three lines, with 14 characters per line. Blank spaces count as characters.

Pavers are only available on 7th Avenue from Nick Nuccio to 26th Street and on northside of 9th Avenue between 18th & 19th Streets (Ybor Museum block).
Line 1
Line 2
Line 3
Prior to processing and fabrication, a money order, check, cash or PayPal payment in the amount of $225 must be received by the Ybor City Community Redevelopment Area.

The PayPal payment option will be offered after submitting this form.

*The lifespan of engraved pavers cannot be guaranteed since they are in the outside environment 24/7 or due to construction work that may occur in the right of way.
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