Centennial Brick Order Form | Alphas25thhouse Com

Custom Engraved Commemorative Alpha Gamma Centennial Brick

Brothers, in honor of our 100th Anniversary Celebration, we have a
limited piece of merchandise that you
can purchase to help us commemorate this momentous occasion.

Cost: $225

Timeline

Vendor will create a batch order of all bricks. We have done this to obtain the best price on production and shipping.

Shipping

Vendor will ship directly to Brother’s designated address.

BRICK ORDER FORM

IMPORTANT NOTES

This customize product is non-refundable.
After submitting this form, we will review your order and contact you within 5-7 business days for confirmation.

CUSTOMER DETAILS

First Name

Middle Initial

Last Name

Phone

Street Address

Apt./Suite/Fl.

City

Region/State/Province

Postal / Zip code

BRICK DETAILS

FULL NAME

CHAPTER

YEAR CROSSED

SCHOOL ATTENDED

NAME OF LINE

LINE #

TERMS AND CONDITIONS

This customize product is non-refundable.
After submitting this form, we will review your order and contact you within 5-7 business days for confirmation.
All submissions are final, and changes will NOT be made, so please verify your inscription prior to submitting!

I ACCEPT THE TERMS & CONDITIONS

PLEASE TYPE YOUR NAME (SIGNATURE) BELOW

YOUR FORM HAS BEEN SUBMITTED!