Purchase your engraved commemorative brick as gifts to graduates; to honor/pay tribute to loved ones and

organizations; or to simply show your TIGER PRIDE. Regardless of why you purchase a brick, you will be

leaving a lasting mark on the University that will last forever.

As alumni, WE are the foundation upon which Grambling State University thrives. Your support creates a timeless message for future generations of students, educators and leaders. The Office of Alumni Affairs is extending an invitation for you to leave your legacy at Grambling State University by purchasing a personalized, engraved brick paver. Your commemorative brick will be placed in Legacy Square surrounding Eddie the Tiger. Commemorate your graduation, line anniversary or any special occasion. You may also recognize achievements and affiliations using Greek letters and other special designs. Each message will be inscribed in the center of the brick paver with upper-case lettering. The space provided allows 18 characters per line, including space, and punctuation. The University reserves the right to approve all text prior to inscription. A $250 gift to the Legacy Square Brick Campaign enables you to write three to four lines of text on a 4x8-inch brick paver. Proceeds from the campaign will support student scholarships and provide an enduring and highly visible link between you and Grambling State University.

GRAMBLING STATE UNIVERSITY Commemorative Brick Order Form

FULL NAME:

STREET ADDRESS:

CITY: STATE: ZIP:

HOME PHONE: CELL PHONE:

EMAIL ADDRESS:

GRADUATION YEAR:

4x8 Brick Information

PLEASE PRINT DESIRED TEXT IN THE SPACE BELOW

NOTE: ALTHOUGH 4 LINES ARE GIVEN, 3 LINES ARE RECCOMMENDED

METHOD OF PAYMENT

CHECK/MONEY ORDER

PAYABLE TO:

GRAMBLING STATE UNIVERSITY FOUNDATION, INC. c/o Office Of Institutional Advancement PO Box 587 Grambling, LA 71245

CREDIT CARD

CARD NUMBER: EXP. DATE: CVV: SIGNATURE:

COMPLETE THE FORM AND MAIL TO:

THE OFFICE OF ALUMNI AFFAIRS— CAMPUS BOX 4204—GRAMBLING, LA 71245