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Alumni Brick Replica Order Form
Alumni Brick Replica Order Form
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Alumni Brick Replica Order Form
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Alumni Brick Replica Order Form
Please allow approximately 6-8 weeks for replica brick delivery.
Brick replicas may have up to three lines of text engraved and up to 20 characters per line, including spaces. Inscriptions will be produced in all uppercase lettering. For questions, please contact Christie Govan at 318.497.7530 or
cgovan@latechalumni.org
.
Enter the text below as you would like it to appear.*
Example:
Line 1: JOHN WILLIAM
Line 2: ROBINSON
Line 3: CLASS OF 1996 or CLASSES OF '96 & '99
*The Louisiana Tech Division of University Advancement and Bricks R Us are not responsible for any misspellings.
Brick #1
Line #1 (limited to 20 characters)
Line #2 (limited to 20 characters)
Line #3 (limited to 20 characters)
Brick #2
Line #1 (limited to 20 characters)
Line #2 (limited to 20 characters)
Line #3 (limited to 20 characters)
Choose your custom case to display your replica in style!
Your keepsake brick replica comes with a display case with your choice of design. Select the quantity of keepsakes you would like to purchase in one of the boxes below.
State and T
LA Tech Logo
Louisiana Tech Wordmark
You may purchase multiples of your keepsake replica; however, separate orders must be processed for each different inscription after your initial two.
Brick with State and T Display Case
Quantity:
$200.00
Brick with LA Tech Logo Display Case
Quantity:
$200.00
Brick with Louisiana Tech Wordmark Display Case
Quantity:
$200.00
Prices include shipping only within the contiguous United States (excludes HI and AK). For international orders, please contact Christie Govan at 318-497-7530.
Shipping Address Information
(Replicas will ship within 4-6 weeks)
First Name:
Last Name:
Email:
Email
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each of the above components
and be at least 8 characters.
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Emails match!
Inputs match!
All replicas must ship to a street address. P.O. and A.P.O. Boxes will NOT be accepted.
Address:
Address 2:
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Not in Regions Listed
--- United States ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
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Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
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Ohio
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Pennsylvania
Puerto Rico
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces - AA
Armed Forces - AE
Armed Forces - AP
--- Canada ---
Alberta
British Columbia
Manitoba
New Brunswick
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Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
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