University Schools

Buy a Brick Form

Application Instructions:

First, fill out the information you would like engraved on the brick. Second, fill out your name and information for billing. Once you have completed the form, click the "Submit" button at the end of the page to continue to a printable format of this application. Print the application, sign and date, and return it to University Schools as soon as possible.


Price: $75.00. Please use separate forms if you wish to purchase more than one brick.

Your Information

Please select method of payment: