Concordia University, Nebraska

HHPAC brick naming initiative

Brick by brick, supporting the HHPAC Maintenance Endowment

Completing the inscription

Use this form to let us know how you would like your brick(s) inscribed.

Note:

  • A brick consists of three lines of up to 15 characters per line.

  • A “character” is each letter, space or form of punctuation used.

  • Individual, family, corporation or team names are allowed.
Matching funds

Personal contributions may be applied to the purchase of inscribed bricks. Matching gift funds do not qualify for commemorative bricks.

Making an online donation for the brick(s)

Once you have completed filling out the form, below, click on the SUBMIT button, below. In order to make your online donation for the brick(s), follow the instructions on the page that confirms your inscription information has been sent.

 

 
 GENERAL INFORMATION
 
  
1. Full name  


2. Title (Rev., Dr., Mrs., etc.)  


3. Street address  


4. City, state, & zip code  


5. E-mail address  


6. Phone number, including area code  



  NUMBER OF BRICKS
 
  
7. How many bricks would you like to inscribe?  

bricks @ $250 per brick for a total donation (today) of

  BRICK ONE INSCRIPTION
 
 		 
Line one inscription (up to 15 characters per line)  


Line two inscription  


Line three inscription  



  BRICK TWO INSCRIPTION
 
 
Line one inscription (up to 15 characters per line)  


Line two inscription  


Line three inscription  



  BRICK THREE INSCRIPTION
 
 
Line one inscription (up to 15 characters per line)  


Line two inscription  


Line three inscription  



  BRICK FOUR INSCRIPTION
 
 
Line one inscription (up to 15 characters per line)  


Line two inscription  


Line three inscription  



  BRICK FIVE INSCRIPTION
 
 
Line one inscription (up to 15 characters per line)  


Line two inscription  


Line three inscription  


Questions, comments:
© 2010 Concordia University, Nebraska
800 N. Columbia Ave. Seward, NE 68434
800-535-5494 or 402-643-3651
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