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Waggin' Tails Memorial Brick - Pay by Credit Card
Supporting Documents
Waggin' Tails Dog Brick (Complete only if paying by check OR Submit Online to pay via Credit Card)
(632 KB)
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First Name
*
Last Name
*
Address
*
Email
*
Phone Number
*
Select a Brick Style
*
Brick Without Clipart $100 (3 lines, 20 characters per line)
Brick With Clipart $100 (3 lines, 15 characters per line)
Enter a Clipart # from photo above
*
Line 1 (limit 20 charachters)
*
Line 2 (limit 20 characters)
Line 3 (limit 20 characters)
Line 1 (limit 15 characters)
*
Line 2 (limit 15 characters)
Line 3 (limit 15 characters)
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Contact Information
Star City Hall
10769 W State St
Star, ID 83669
Phone:
(208) 286-7247
Email:
staridaho
@staridaho.org
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