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Commemorative Campus Bricks

Please use the form below to order your bricks. For each brick ordered, please provide a maximum of three lines of text to be engraved, with up to 20 characters per line, as seen in the example below.

Commemorative Brick example

Donation Information

Amount:

1 Brick

$ 500.00

2 Bricks

$ 1,000.00

3 Bricks

$ 1,500.00

Additional Information

Anonymous:

I prefer to make this donation anonymously

Brick Inscription (Max. 3 lines, 20 char. per line):

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Confirm Email:

Payment Information

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code: