Tribute Brick Order Form
The Lambda Chi Parents Club has joined efforts with Gamma-Rho Alumni Association to sell tribute bricks to all current and alumni members. Ordered bricks will be installed along the sidewalk in front of the chapter house.

Tribute bricks cost $100 each.

Each brick will have three lines of lettering, each consisting of a maximum of 18 characters/spaces.  The member’s first name will be on the first line, last name on the second line, and his Gamma-Rho number on the third line.

Example:

Sam
Roberts
ΓΡ 2440

Please make sure to click "Submit" after completing this form.
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Email *
Line 1 of Tribute Brick - First Name *
Line 1 is limited to 18 characters, including spaces.
Line 2 of Tribute Brick - Last Name *
Line 2 is limited to 18 characters, including spaces.
Line 3 of Tribute Brick - Gamma-Rho Number *
Line 3 is limited to the 4 numbers that make up a Gamma-Rho number.
Your First Name *
Please provide first and last name.
Your Last Name *
Your Phone Number *
Ex: (123) 456-7890
Your Mailing Address - Number, Street *
Ex: 123 Main Street
Your Mailing Address - City *
Your Mailing Address - State *
Your Mailing Address - Zip Code *
Yes, I would like to order and pay for an OU Lambda Chi Tribute Brick. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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