1. USS Groton	2. Sub Vets	3. Navy Dolphin	4. US Navy Seal	5. Submarine
6. Electric Boat	7. NN	8. Sub Base	9. US Flag	10. Sub Capital

Print Out Paver Form

Enter You Paver Logo(Required)

Select your logo from above

Are you a Holland Club member?(Required)

A Holland Club member is a member of USSVI that has been qualified in Submarines for 50 years or more. If you click yes, an additional line will be engraved on your paver stating “HOLLAND CLUB.”

Yes

No

Type name or other text for first line of paver (20 characters max)(Required)

2nd line of text for your paver (20 characters max).(Required)

3rd line of text for your paver (20 characters max).(Required)

4th line of text for your paver (20 characters max).(Required)

First Name(Required)

Last Name(Required)

Phone(Required)

YOUR EMAIL WILL BE USED TO CONTACT YOU SHOULD WE HAVE QUESTIONS ABOUT YOUR ORDER. YOU EMAIL WILL BE ADDED TO OUR NEWSLETTER LIST.

Email(Required)

Enter Email Confirm Email

Is this paver purchase a gift?(Required)

YES

NO

Name(Required)

This paver is a gift for, please enter their name.

First Last

Comments (Optional)

Please fill out your paver form below, review after filling out. After filled out you may then print the form. Place your printed form in an envelope with your check for $250.00, made out to: USS GROTON SAIL FOUNDATION.

Mail your Paver Order to: GROTON SAIL FOUNDATION, P.O. Box 694, Groton, CT 06340.