Commemorative Brick Paver Order Form

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Commemorative Brick Paver Order Form THE COMMEMORATIVE BRICK PAVER PROGRAM

honorarium for someone special.

Support the Northern Kentucky University SOFTBALL Program and enjoy permanent recognition of your commitment to help NKU blaze a path.

Your brick paver will be installed in front of the Frank Ignatius Grein Softball Field, allowing your special message to be remembered for a lifetime.

Personalize your brick paver by inscribing your name, a significant date, a meaningful quote, a memorial or

Brick pavers are installed once per year, usually in late May.

Please print your message exactly as you would like it to appear on your brick paver. Each paver can accommodate a maximum of 3 lines of text with 14 characters (including spaces and punctuation) on each line. Letters will be in all caps.

NAME__________________________________________________________________________________________ ADDRESS_______________________________________________________________________________________

______________________________________________ ________________________________________

PHONE_____________________________________ E-MAIL__________________________________________

METHOD OF PAYMENT: Cost is $100 per paver

PLEASE BILL MY CREDIT CARD:  Visa ____  MasterCard_



ACCOUNT #________________________________________ EXP.____________ SECURITY CODE_______



PRINTED CARDHOLDER NAME______________________________________________________________

PLEASE MAIL THE COMPLETED FORM TO: Go Norse Fund c/o NKU Athletics BB&T Arena 500 Nunn Drive Highland Heights, KY 41099

FOR MORE INFORMATION, PLEASE CONTACT Alicia Lawrence Go Norse Fund (859) 572-7894 [email protected]

gonorsefund.Com

SIGNATURE_______________________________________________________________________________



MY CHECK IS ENCLOSED (payable to the NKU Foundation)



I am not interested in the Commemorative Brick Paver Program at this time. However, please accept my contribution to the Go Norse Fund in the amount of $_______________.

This publication was prepared by Northern Kentucky University. NKU is an affirmative action/equal opportunity institution. 49187