College of Engineering Brick Campaign

Brick Order Form

This order form is designed for one brick to be installed on Engineering Walk at the Zachry Engineering Education Complex. If ordering multiple installed bricks, please fill out and submit this form once per brick. For commemorative bricks, please see the designated section below. If you have any questions, please contact engineeringbricks@tamu.edu.

Purchaser's Information

Name(Required)

First Last

Class year

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Brick Order

This order includes one installed brick.(Required)

Price:

Each brick includes up to three lines of text per brick.

Would you like to purchase one or more commemorative bricks to be mailed to you?(Required)

This is a replica of your brick for your keeping/gifting!

Yes

I want to purchase ____ number of commemorative bricks.

Commemorative bricks are $150 each.

Price: $150.00

Total cost

Payment method(Required)

You will receive payment instructions in your confirmation email after this order form is submitted. Your order will not be complete until payment is received.

Card

Check

If paying by check, make checks payable to the Texas A&M Foundation with a notation in the memo line: #05-73988

Brick text

Each brick includes up to three lines of text per brick. For assistance in choosing your engraved message or help with fitting your message on your brick, please contact us at engineeringbricks@tamu.edu.

First line of text for brick inscription (max 15 characters per line)

Second line of text for brick inscription (max 15 characters per line)

Third line of text for brick inscription (max 15 characters per line)

Shipping information for commemorative brick(s)

Name of commemorative brick recipient

First Last

Class year of commemorative brick recipient

Yes, I have chosen to purchase one or more commemorative bricks for an additional $150 each. Please mail the commemorative brick(s) to this address:

Please note that we only ship commemorative bricks to those who are located in the United States.

Street Address Address Line 2 City State ZIP Code

Comments

This field is for validation purposes and should be left unchanged.