Please place my order for a _______ engraved brick(s) on Alumni Plaza: *

Large - 21"x14' Square - 14"x14" Small - 7"x14"

Number of Large Bricks:*

Charge: 0.00

Number of Square Bricks:*

Charge: 0.00

Number of Small Bricks:*

Charge: 0.00

Total Amount Due:*

Engraved Inscription Text - Large Brick:*

Please type your engraved inscription exactly as it should appear on the brick. LARGE BRICKS may have up to 7 LINES with a maximum of 30 characters per line (spaces and punctuation included). A final proof will be sent to you before bricks are set.

Engraved Inscription Text - Square Brick:*

Please type your engraved inscription exactly as it should appear on the brick. SQUARE BRICKS may have up to 5 LINES with a maximum of 20 characters per line (spaces and punctuation included). A final proof will be sent to you before bricks are set.

Engraved Inscription Text - Small Brick:*

Please type your engraved inscription exactly as it should appear on the brick. SMALL BRICKS may have up to 3 LINES with a maximum of 20 characters per line (spaces and punctuation included). A final proof will be sent to you before bricks are set.

Prefix*

Contact First Name*

Contact Last Name*

Contact Email*

Contact Phone*

Company/Organization Name

Address 1*

Address 2

City*

State*

Zip*

Relationship to DePaul College Prep*

Please select all that apply

Current Parent Prospective Parent Alumni Parent Friend of DePaul Prep Faculty/Staff Board Member Alumni - DePaul Prep Alumni - Gordon Tech Alumni - Weber High Alumni - DePaul Academy

Grade School*

Student's Grade*

Student Class Year*

For more information on the Buy-A-Brick Program at DePaul College Prep, please contact:
Ms. Amy Golden, Director of Institutional Advancement
agolden@depaulprep.org

Please send a confirmation email to the address below*: