Brick Form

Brick Order Form

Please complete one form per brick.
Your Name/Group's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
How did you hear about the Walk of Faith:*
If "other", please describe:
Brick Size*

Regular = $250Large = $500
Your Brick Personalization

All words will be printed in all capital letters as pictured above. Each line cannot exceed 14 characters, which includes spaces and punctuation.
Line 1 (14 Characters max)
ex. In Memory Of
Line 2 (14 Characters max)
ex. Lottie Moon
Line 3 (14 Characters max)
ex. Missionary
Line 4 (14 Characters max)
Line 5 (14 Characters max)
Line 6 (14 Characters max)
We would like to know more about the person you are honoring. Please share with us so we will know the story behind the brick, in 250 words or less.*

0/250
Is your brick in honor or memory of someone?*

YesNo
If your brick is in honor or memory of someone, and you would like us to contact the person/family please provide their name and contact information below. If no, or you do not want us to contact anyone, just enter N/A. *
Is this brick being given as a gift?*

YesNo
If the brick is being given as a gift, please let us know when you would like the person/family to be notified, or if you will notify them yourself. If no just enter N/A. *
Make Your Gift Online

When you click Submit, you will be redirected to the donation page where you can make your gift of $250 or $500 to the Wanda Lee Joy Fund. If something happens and you are not redirected to the online donation page you can find it here: donate.wmufoundation.com/joy-fund

If you are paying by check, click the box below and then click Submit. You can just close out of the online payment page when redirected, but make sure to click Submit below or we will not receive your form.
Make Your Gift By Mail

Click here if you prefer to mail a check to: WMU Foundation Walk of Faith, 100 Missionary Ridge, Birmingham, AL 35242.
You will receive a preview of your brick by email to approve before it is ordered. Click below to opt out of email and to opt in to mailing your preview via USPS.

Do not email preview flyer. Send physical copy to my address.
Should be Empty:

Brick Order Form

Your Brick Personalization