Walk of Honor Commemorative Brick Order Form

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Brick Selections

Please select your desired brick(s) location(s). You must select at least one and may select all three locations. The Onyx Courtyard is located north of Boren Veterinary Medical Hospital. The Military Honor Court is surrounding the flag pole located on the northeast Corner of McElroy Hall. The Walk of Honor is located on the north side of McElroy Hall.

Commemorative Brick Location Selections
Commemorative Brick Location Selections	Onyx Courtyard	Military Honor Court	Walk of Honor
Brick 1	Brick 1Onyx Courtyard	Brick 1Military Honor Court	Brick 1Walk of Honor
Brick 2	Brick 2Onyx Courtyard	Brick 2Military Honor Court	Brick 2Walk of Honor
Brick 3	Brick 3Onyx Courtyard	Brick 3Military Honor Court	Brick 3Walk of Honor

First Brick Characters

Each brick may have up to 3 lines with 14 characters per line, including spaces. Please list message EXACTLY as it should appear on the paver brick.
Second Brick Characters

Each brick may have up to 3 lines with 14 characters per line, including spaces. Please list message EXACTLY as it should appear on the paver brick.
Third Brick Characters

Each brick may have up to 3 lines with 14 characters per line, including spaces. Please list message EXACTLY as it should appear on the paver brick.
Payment Options

Make all checks payable to OSU Foundation. Mail Checks to Sharon Worrell 308 McElroy Hall Stillwater, OK 74078
Commemorative Brick Donation Price

Please indicate the number of brink you selected on prev
Payment Selection

Payment Selection Mail a Check Order by Phone (recommended)
Would you like to be contacted by our Alumni Affairs Specialist?

Would you like to be contacted by our Alumni Affairs Specialist? Yes, please contact me about my commemorative brick order. No, I will be mailing my check to the address below and require no further assistance.

Sharon Worrell, the CVHS Alumni Affairs Specialist, will contact you with more information if you indicated "yes" or if you chose to "Order by Phone" and will be able to answer any questions you may have, including purchasing more than three bricks.
Notify Individual/Clinic about my gift or recognition

Notify Individual/Clinic about my gift or recognition None Yes No