National Pan-Hellenic Council Memorial Plots Brick Engraving Form

We thank you for your generous donation to the Wright State University National Pan-Hellenic Council (NPHC) Memorial Plots project. Your charitable gift is an opportunity for you to celebrate the achievements of our NPHC organizations and pay homage to their traditions and history on our campus.

With a gift of $350 or more, donors will receive an engraved brick that will be placed in the NPHC Memorial Plots walkway. To make a gift, please visit our secure donation form. If you have already placed your donation of $350 or more, please complete and submit the form below to personalize your brick.

First name Required

Last name Required

Your company

Street address Required

City Required

State Required

Zip Required

Phone number Required

Email Required

Are you a member of an NPHC organization? Required

Yes

Are you an alumnus of Wright State University? Required

Yes

Brick Personalization

Greek Letters Image Option

You have the option to include an image of your NPHC organization letters as an image on the left side of your brick. If you choose this option, your remaining personalization will be limited to a total of 3 lines of up to 15 characters each, including spaces.

To select this option, which NPHC organization’s letters would you like to include in the image?

Line Personalization (limited to 15 characters each, including spaces)

Line 1

Line 2

Line 3

Regular Personalization

If you would prefer not to have the image of NPHC organization letters on the left side of your brick, you can choose regular personalization. With this option, you will be limited to a total of 3 lines of 20 characters each, including spaces.

To select this option, please complete the information below. If you would like to include your Greek letters in the text of your regular personalization, please use the English equivalent of the letters in the form below and we will adjust the letters during the ordering process.

Line Personalization (limited to 20 characters each, including spaces)

If you would like to include your Greek letters as part of your personalization, please use the English equivalent of the letters in the form below and we will adjust the letters during the ordering process.

Line 1

Line 2

Line 3

On behalf of the Wright State community, we appreciate your generous donation. Please plan to join us in early August for the grand opening of the Wright State University NPHC Memorial Plots.

If you have any questions about your donation or personalized brick, please contact gina.keucher@wright.edu or the Wright State Office of Student Involvement and Leadership at 937-775-5570.

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Student Affairs, Division of

Location:

190 Student Union

Phone:

937-775-5570

Fax:

937-775-5573

Email:

sil@wright.edu