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MU Brick Order Form

Please type your message exactly as you would like for it to appear. 

Your message must be no more that 16 characters per line and will appear on the
brick(s) exactly as shown, puctuation and spaces count as characters.

Under Internal Revenue Service guidelines, the full amount of your gift
is a deductible contribution and will be part of your gift record to
Methodist University.  You will receive an acknowledgement letter outlining your gift.

Methodist University reserves the right to approve all inscriptions. 
Purchaser will be responsible for misspelled names sent in on order forms.

MU Personalized Brick(s)
I would like to order @ $150.00 (US) each
Each brick will accommodate 3 lines of engraving and up to 16 characters per line, including spacing and punctuation.
Brick #1
Brick #1 - Enter the first line of text (16 characters)
Brick #1 - Enter the second line of text (16 characters)
Brick #1 - Enter the third line of text (16 characters)
Brick #2
Brick #2 - Enter the first line of text (16 characters)
Brick #2 - Enter the second line of text (16 characters)
Brick #2 - Enter the third line of text (16 characters)

I would like Methodist University to contact me about having a basic die cut etched into my personalized brick(s); my phone number is below.
Phone number:
Please place my brick(s) in the 1st quadrant (faces the NE side of the campus . . . chapel, fitness center, dorms)
Please place my brick(s) in the 2nd quadrant (faces the SE side of the campus . . . Football Field, Golf Course)
Please place my brick(s) in the 3rd quadrant (faces the SW side of the campus . . . Clark Hall, Trustees Building, Stout Hall)
Please place my brick(s) in the 4th quadrant (faces the NW side of the campus . . . Reeves Auditorium, Trustees Building, Science Building)
Please place my brick(s) in the 5th or 6th quadrant (these are the two quadrant directly W of the Davis Memorial Library)


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