EmailMe Form - Waynesburg University Brick Fundraiser

Choose Your Brick *

4” x 8” bricks can be personalized with up to 3 lines of text , 20 characters per line without clip art or 16 characters with clip art.

Click to display or hide clip art.

Please add clip art

Please include a Mini Replica Brick for my home or office (Add $25)

Line 1:

Line 2:

Line 3:

Choose Your Clip Art

Brick placement *

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Email *

What is your relationship to Waynesburg University?

PLEASE ONLY CLICK THE "SUBMIT" BUTTON ONCE.
AFTER CLICKING "SUBMIT" YOU WILL BE TAKEN TO A SEPARATE SCREEN TO PAY BY CREDIT CARD.