**Alumni Legacy Brick Order Form

Brick Order Form

Create a lasting impact at GCU with your own personalized Alumni Legacy Brick. For just $49, you can leave a legacy that not only supports future students but also showcases your unique GCU experience! Parents: you can also purchase a brick for your students! All Alumni Brick contributions will support the GCU Canyon Rising Scholarship Program, making higher education accessible to local students and helping to transform communities. Please note we only place brick orders three times a year. To have your brick displayed at the upcoming commencement, please place your order at least seven weeks in advance.
Contact Information
Full Name*

First NameLast Name
Who is the brick for?*

MyselfMy StudentOther
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Brick Customization Information

Please fill out the fields below with your brick order preferences. Each line is limited to 18 characters. Characters include spaces and punctuation. PLEASE NOTE: If you want your name included on your brick, you must include it in one of the lines below. Emojis or symbols are not allowed on bricks.
Line 1 Text (18 character max)*
Line 2 Text (18 character max)*
Line 3 Text (18 character max)*

My Products*

Alumni Brick Alumni leave behind their legacy at GCU by customizing a personal brick on Alumni Lane! Your brick supports scholarships that pave the way for future students, and also showcases what makes GCU so special, and that's you, your achievements, and memories!

$49.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Brick Order Form

Contact Information

Brick Customization Information