UNIVERSITY OF ARKANSAS AT MONTICELLO

Name That Brick

We gladly accept MasterCard and Visa logo

UAM Weevil Walk
Online Brick Order Form

Please complete the fields below EXACTLY as you would like your brick to appear. Leave spaces between names, and before and after "&". Each space counts as a character. Orders received together will be placed together.

Suggested wording on bricks:

Name (first line) and class year (second line)

Optional: "In Memory of" or "In Honor of "

The UAM Foundation Fund reserves the right to approve all inscriptions.

VISA and MasterCard accepted. Your sponsorship is tax deductible.

Questions?
Please call the UAM Office of Advancement at 870-460-1028 or toll-free at 1-800-467-8148.

*Indicated fields required for submission.

$100 Brick 4" X 8"
Red brick with black laser lettering
Two lines maximum
15 characters per line (must be upper and lower case)
No commas

Please enter your personalized text in the fields below: 2 lines

Name of person sponsoring brick*
First Name*
Last Name*

Address*

City* State*

Zip*

Phone*

Email Address (required for email receipt)

Confidentiality Statement:
The University of Arkansas at Monticello is very concerned with the security of financial information and transactions on the Internet. The information submitted on this form is protected by a secure server. Information submitted on this form is for the use of UAM only and will not be shared with any outside individuals.

Questions?
Please call or write the Office of Advancement at:

P.O. Box 3520
Monticello, AR 71656
870-460-1028
1-800-467-8148