Commemorative Tile Order Page Your Name - Your Memory - Your History - On a TileSelect a Tile*Please Select a Tile Size3" x 6" Single Tile: $2506" x 6" Single Tile: $5009" x 12" Single Tile: $25009" x 6" Mosaic Tile (6" x 6" Inscription Tile): $9009" x 8" Mosaic Tile (8" x 8" Inscription Tile): $12009" x 12" Mosaic Tile (6" x 12" Inscription Tile): $25009" x 12" Mosaic Tile (8" x 8" Inscription Tile): $2500 NOTE: Preview does not reflect actual color of tile. Colors of tile will vary. Line 1Line 2Line 3Line 4Line 5Line 6Line 7Line 8Line 9Line 10Line 11Line 12Your Name* First Last Please provide the information of the person you would like us to contact. This will not necessarily appear on the tile.Email* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Check here if this tile is a gift and you would like the Museum to contact to you create a certificate for the gift recipient. Tile Application Agreement: To sponsor a Pasadena Museum of History Tile, please read each of the terms and conditions listed below and sign your name where indicated. Any party or parties who apply to sponsor a tile are individually and collectively referred to in this agreement as a "Sponsor" and the cost of the tile is referred to in this Agreement as a "Sponsorship Donation." Sponsor shall have no control over the location of the tile, color of the tile, or its date of installation. Sponsor agrees that the submitted text is correct and without errors. Pasadena Historical Museum, Inc. DBA Pasadena Museum of History is not liable for any spelling or spacing errors made by the Sponsor on the application and subsequently imprinted on a tile. Pasadena Museum of History reserves the right in its sole discretion to deny any application to sponsor a tile and return or refund the Sponsorship Donation. Pasadena Museum of History, in its sole discretion, may refuse to imprint any inscription (or portions thereof) on any tile. As Pasadena Museum of History is ever-changing, Sponsor agrees that the tile may be replaced or relocated within the Pasadena Museum of History campus, all at Pasadena Museum of History’s sole discretion and all without advance notice to the Sponsor or any liability to Pasadena Museum of History. Sponsor agrees that the tile may be permanently removed after the tenth anniversary of its initial installation. If the tile is removed after the tenth anniversary of its initial installation, Sponsor shall not be entitled to any rights or remedies for such removal, including, but not limited to, rights to monetary damages or to require that the tile be maintained, repaired, replaced, removed, or relocated. Sponsor shall have no rights to ownership or control of the tile after its removal. Sponsor shall have no control over the design, format, material, appearance, construction, manufacture, installation, maintenance, repair, admission, or access to, or operation of the tile. Sponsor recognizes that the tile may chip, crack, wear, or otherwise become damaged due to any cause. Sponsor will not be entitled to any rights or remedies for such damage including, but not limited to, no rights to monetary damages or to require tile be maintained, repaired, replaced, removed, or relocated. Pasadena Museum of History and its affiliates may photograph, tape, illustrate, film, or otherwise reproduce the tile and use the same in any promotional, marketing, publicity or advertising materials, or in any other matter whatsoever, without the consent of, or payment of any compensation to, Sponsor or any other individual(s), organization(s), or business(es) whose name(s) are on the tile. Neither this Agreement nor the installation of the tile entitles Sponsor to: (a) any ownership interest in the tile; (b) any right, title, or interest in or any to any real estate or property; or (c) free or discounted admission to the Pasadena Museum of History exhibition galleries or the Fenyes Mansion. Pasadena Museum of History reserves the right in its sole discretion to change any or all of the Agreement terms and conditions for future Sponsors of tiles. Sponsor’s only right or remedy as a result of any breach of Pasadena Museum of History’s obligations under this agreement shall be to seek a replacement tile of equal value. Sponsor will not have the right to rescind or terminate this Agreement, nor the right to enjoin the Pasadena Museum of History (or its affiliates’) actions in connection with the tile, or any other rights of the Pasadena Museum of History. If Sponsor has included in the inscription, the name(s) or any individual(s), organization(s), or business(es) who did not sign this Agreement: (a) Sponsor warrants and represents that he or she is authorized to do so; (b) Sponsor agrees that Sponsor will be solely responsible for and will indemnify and hold Pasadena Museum of History harmless against any claims or causes of action of any nature by or on behalf of said individual(s), organization(s), or business(es) relating to the tile, including, without limitation, the use of any names on the tile as permitted by Section 7 of this Agreement; and (c) Sponsor agrees that the tile may be permanently removed in the sole discretion of Pasadena Museum of History if at any time the individual(s), organization(s), or business(es) who did not sign this Agreement request to have his or her name(s) removed from the tile and that Sponsor shall not have any right to any refund or compensation, or any right or remedy. Any individual(s), organization(s), or business(es) who did not sign this Agreement shall have no rights under this Agreement and shall not be third party beneficiaries under this Agreement. This Agreement constitutes the entire agreement between Sponsor and Pasadena Museum of History, and supersedes and prior representations regarding the Sponsor’s sponsorship. This Agreement may not be modified except in a signed writing. This Agreement shall be governed by the laws of the State of California and any legal proceedings of any nature arising out of any matter pertaining to this Agreement shall be submitted for trial, without jury, before the California State Superior Court in and for Los Angeles County; or, if the Superior Court does not have jurisdiction, then before any other court sitting in Los Angeles County, California, having subject matter jurisdiction. This Agreement will inure to the benefit of and will be binding upon the Sponsor’s affiliates, successors, licensees, assigns, heirs, and representatives. Sponsor agrees that Pasadena Museum of History shall be entitled to assign any of the rights, interests, or obligations under this Agreement in whole or in part without their prior consent. Agreement* I/We, Sponsor, have read and hereby agree to the above stated terms and conditions.