Stephenson Pet Clinic Brick & Paver Order Form

Enter brick or paver message below.

4x8 Brick includes 3 lines of text – 20 characters each (includes punctuation and spaces).
8x8 Paver includes 6 lines of text - 20 characters each (includes punctuation and spaces).
- A canine paw print, cat or heart graphic is optional for Line 6. If you would prefer one of these graphics instead of text, please type PAW PRINT, CAT, or HEART in Line 6.

A message confirmation email will be sent to you for approval by Alexis Jones (ajones2@lsufoundation.org). Your brick message will appear exactly as you typed it. If we do not hear back from you, your message will be printed as shown in the confirmation email. If you have any questions about your order please contact:

Alexis Jones
Development Services Coordinator
School of Veterinary Medicine
ajones2@lsufoundation.org

For more information on our bricks and pavers program, click here.

LSU reserves the right to approve all text to be inscribed on bricks. All text will be centered and uppercase.

Donation Information

Amount:

4x8 Brick ($200) - 3 Lines

$200.00

8x8 Brick ($500) - 6 Lines

$500.00

Gift Details

Gift Comments:

Brick to be engraved for:

Line 1 (Limit 20 characters, including spaces):

Line 2 (Limit 20 characters, including spaces):

Line 3 (Limit 20 characters, including spaces):

Line 4 (Only applies to 8x8 brick option. Limit 20 characters, including spaces):

Line 5 (Only applies to 8x8 brick option. Limit 20 characters, including spaces):

Line 6 (Only applies to 8x8 brick option. Limit 20 characters, including spaces):

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP code

Phone:

Email:

Confirm Email:

Tribute Information

I would like to make this donation in honor or in memory of someone special.

Name:

My gift is:

Description:

If you would like to notify someone of your gift, please provide their name and address. Gift amount will not be included in the notification.

Stephenson Pet Clinic Brick & Paver Order Form

Enter brick or paver message below.

Donation Form