Crimson Promenade Brick Order Form PDF Details

Looking to order bricks for your Crimson Promenade project? Look no further! The form below will allow you to enter all of the necessary information to get started. Please be sure to double check your measurements and quantities, as we cannot accept changes or cancellations once the order has been placed. If you have any questions, please don't hesitate to contact us. Thank you!

QuestionAnswer
Form NameCrimson Promenade Brick Order Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesTuscaloosa, ua, Exp, honoraries

Form Preview Example

Crimson Promenade Brick Order Form

Please complete all sections of this form. Complete and submit one form for each brick. If ordering more than one brick, number the forms (i.e. “1 of 3,” “2 of 3,” “3 of 3”). You may also order online at www.sa.ua.edu/promenade. Please refer any questions to Student Afairs External Afairs at (205) 348-6275.

Donor and Payment Information

Donor information must be illed in completely. Payment of $200 per brick must be enclosed with this form unless paying by credit card. Your contribution is tax deductible to the full extent allowed by law.

Total number of brick pavers ordered: _______

Full Name of Donor _____________________________________

Address _______________________________________________

City __________________________ State ________ Zip Code ___________________

Home Phone (____) ______ - ______ Daytime Phone (____) ______ - ______ Email _______________

I am a ( ) UA alumnus/a, class of _________

( ) UA student

( ) UA faculty/staf member

( ) Friend of the University

( ) Parent/guardian

 

( ) My company participates in a matching git program

Company name (if applicable): ___________________________________________

Credit Card Type: ( ) Mastercard ( ) Visa ( ) Discover

Credit Card Number: __________ - ___________ - ___________ - ___________ Exp. Date ________

Cardholder Signature: _________________________________

Brick Paver Text

Beginning in the irst block of each row, neatly ill in the text you want to appear on your brick. You may use Greek capital letters, numbers, spaces (indicate by leaving box empty), and the following punctuation marks: period, comma, dash, slash, ampersand (&), apostrophe, quotation marks, colon, semicolon, paren- theses, question mark, and exclamation point. All text will be centered on the brick. Each line may have up to

14 characters. Each letter, digit, space or punctuation mark counts as one character. Finished bricks measure

eight inches square.

Line 1 of Text:

__ __ __ __ __ __ __ __ __ __ __ __ __ __

Line 2 of Text:

__ __ __ __ __ __ __ __ __ __ __ __ __ __

Line 3 of Text:

__ __ __ __ __ __ __ __ __ __ __ __ __ __

Line 4 of Text:

__ __ __ __ __ __ __ __ __ __ __ __ __ __

Ainity Groups

Ainity Groups include colleges or schools, Greek organizations, honoraries and service/social/academic organizations. If you would like your brick placed in an Ainity Group section, please check the following lists for possible selections and indicate below. For more information about Ainity Groups or to ind out how to establish Ainity Groups, please call (205) 348-6275. Please place my brick with the Ainity Group: ______________________________________

A Club

C&BA

Delta Sigma heta

Lambda Chi Alpha

Residence Hall

Alpha Chi Omega

Capstone College of Nursing

Delta Tau Delta

School of Law

Association

Alpha Delta Pi

Cheerleaders & Big Al

Delta Zeta

Million Dollar Band

Rose Towers

Alpha Gamma Delta

Chi Omega

Gamma Phi Beta

NAA

Sigma Alpha Epsilon

Alpha Kappa Alpha

College of Communication

Jasons

Omega Psi Phi

Sigma Chi

Alpha Lambda Delta

& Information Sciences

Kappa Alpha

Phi Delta heta

Sigma Nu

Alpha Omicron Pi

College of Education

Kappa Alpha Psi

Phi Gamma Delta

Sigma Phi Epsilon

Alpha Phi Alpha

College of Engineering

Kappa Alpha heta

Phi Mu

heta Chi

Alpha Tau Omega

Delta Chi

Kappa Delta

Pi Beta Phi

he XXI

Anderson Society

Delta Delta Delta

Kappa Kappa Gamma

Pi Kappa Alpha

Zeta Beta Tau

Beta heta Pi

Delta Kappa Epsilon

Kappa Sigma

Pi Kappa Phi

Zeta Tau Alpha

Please mail form to: he University of Alabama Crimson Promenade Campaign, Box 870301, Tuscaloosa, AL, 35487