Brick Campaign Donation

Fill out the form below to order 1 brick for $125. Each 4x8-inch brick has space for 3 lines with 18 characters each. The text will engraved in all caps and will be centered on the brick. Please enter your desired text below.

Brick Line 1 *
Brick Line 2
Brick Line 3
Choose Campus Location for Your Brick (Please note earliest placement dates.) *

Honor/Memorial Giving

My gift is    
Whom should we notify
Address
City
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Please enter your Contact Information

First Name *
Last Name *
Email *
Phone *
Address *
Country *
City *
State/Province *
Zip/Postal *

Please enter your Billing Information

We accept the following cards
       
Name on Card *
Card Number *
Card Expiration Date *
/
Card Verification Value (CVV) *
?
Same as Contact Information
Billing Address *
Country *
City *
State/Province *
Zip/Postal *

  $125.00