brick paver order form - mclennan community college
TRANSCRIPT
HIGHLANDER Legacy Plaza
Brick Paver Order Form
Yes! I want to make my mark on McLennan’s campus and purchase a brick paver for the Highlander Legacy Plaza located behind the Dennis F. Michaelis Academic Center!
Name: Address: City, State, Zip Code: Phone: E-mail:
*Payment Options: Check, payable to the MCC Foundation Monthly withholding (MCC Employees only - Please also complete the Foundation Giving Form.) Visa MasterCard Discover American Express
Name on Card: Card Billing Address: Card Number: Expiration Date: 3-Digit Security Code: Signature: Date: Paver size:
Paver 4” x 8”
3 Line Inscription $200
*Inscription on brick paver will be completed upon payment in full. Installation may take several months.
Paver Inscription: Complete a separate form for each paver. Paver max 12 letters/line.
Line 1 :
Line 2 :
Line 3 :
Return to: Te MCC Foundation | 1400 College Drive, Waco, Texas 76708 | F: 254-299-8484 | P: 254-299-8604