Donate to Mississippi Christian University Brick Fundraising Campaign

For questions, reach out to Tim Fritts at [email protected] or call 601-925-7826.

IMPORTANT – ACTION REQUIRED

IN ORDER TO COMPLETE YOUR ORDER, PLEASE ENTER YOUR INFORMATION BELOW.

ON THE FOLLOWING PAGE, PLEASE CONFIRM YOUR ENGRAVING CONTENT BY ENTERING 000 IN THE BOX NEXT TO “CHECK NUMBER.”

PLACE YOUR ORDER HERE

*First Name:

*Last Name:

*Street Address:

*City:

*Select State:

*Zip code:

*Phone Number:

*Email Address:

*Brick/Tile Size:

Additional Contribution:

*Total Amount($):