Mailbox Replacement Program Order Form

Print and Mail. Fill out the Mailbox Replacement Form. Mail your payment to address below. We will call you when we receive your form.

Replacement Mailbox                 New Construction (no replacement)

Name: _____________________________________________________________________________
Address of Replacement: ____________________________________________________________
Day/Eve Phone: ___________________________________
Verify Street Number: ______________________________

Select Style & Color:

Hickory Mailbox
     Circle Box Color:    Black    White    Brown 		 $150
 
The Cedar Mailbox       
     Circle Box Color:    Black      White      Taupe 		$300
 
The Hawthorn $350
 
The Ironwood $375
 
The Mighty Oak Mailbox                                            Or with Black Vandal box for $435
      Circle box color:     Black     White     Taupe       		$400
 
The Beech
      Circle box color:      Black     White      Bronze    Circle accent color:   Copper      Nickel 		$525
   
The Birch Mailbox 
      Circle box color:      Black      White      Bronze    Circle Door Finish:      Brass Aluminum      Antique 		$625
   
The Linden
      Circle box color:      Black     White      French Bronze 		$645

                                                TOTAL DUE $__________________
                                                 Check or money order

Comments: ______________________________________________________________________________________________

 

Enclose check or money order to:
Palos Park Beautification Committee Mailbox Replacement Program
8999 W. 123rd Street Palos Park, IL. 60464

THANKS FOR YOUR SUPPORT!