Centennial Walkway Brick Order Form

You may order up to three bricks at a time. Bricks may be ordered at any time and are installed annually in the spring. Orders must be received by February 22 to be installed by Commencement. For assistance, please contact the Office of Alumni Relations at +1-508-831-5600, or email alumni-office@wpi.edu.

Purchaser Information (You)

First Name

Last Name

Email Address

Number of Bricks

Brick 1

Brick Recipient Information

Please note: This information is not used on the brick's inscription.

Brick 1 Recipient First Name

Brick 1 Recipient Last Name

Brick 1 Recipient Class Year

Please only select a class year if this recipient is a WPI student or graduate

Would you like to receive a gift card for this recipient?

YesNo

Brick Inscription Information

Make sure that your inscription is spelled correctly and that each line is limited to 20 characters, inclusive of spaces and punctuation. If you are adding a class year to this brick, please do not use "Class of" in the inscription, and please do not abbreviate the class year. For example, please use 1987 versus '87. Because this system does not recognize Greek lettering, if you are adding a Greek organization to this brick you must write out the name of the organization in full. WPI reserves the right to edit any inscription for appropriateness.

Brick 1 - Line 1 Inscription

Brick 1 - Line 2 Inscription

Brick 1 - Line 3 Inscription

Convert Greek Organization name to Greek symbols?

YesNo

Brick 2

Brick Recipient Information

Please note: This information is not used on the brick's inscription.

Brick 2 Recipient First Name

Brick 2 Recipient Last Name

Brick 2 Recipient Class Year

Please only select a class year if this recipient is a WPI student or graduate

Would you like to receive a gift card for this recipient?

YesNo

Brick Inscription Information

Brick 2 - Line 1 Inscription

Brick 2 - Line 2 Inscription

Brick 2 - Line 3 Inscription

Convert Greek Organization name to Greek symbols?

YesNo

Brick 3

Brick Recipient Information

Please note: This information is not used on the brick's inscription.

Brick 3 Recipient First Name

Brick 3 Recipient Last Name

Brick 3 Recipient Class Year

Please only select a class year if this recipient is a WPI student or graduate

Would you like to receive a gift card for this recipient?

YesNo

Brick Inscription Information

Brick 3 - Line 1 Inscription

Brick 3 - Line 2 Inscription

Brick 3 - Line 3 Inscription

Convert Greek Organization name to Greek symbols?

YesNo

Credit Card Payment Information

Name on Card

Credit Card Number

Card Expiration Month

Card Expiration Year

Credit Card Type

CVV Number

Address Associated with Your Credit Card

	Address Type	Street Line 1	Street Line 2	Street Line 3	City	Country	State	Zip Code	Province/State	Primary Phone Type	Primary Phone Number

GDPR Consent

Are you currently based in a European Union country, Iceland, Liechtenstein, Norway, or Switzerland?

Yes

You must select one.

I consent to allow WPI to use the information submitted on this form to send me information related to Alumni Office interactions at WPI.

I understand

Status

Once you have clicked submit, the form will be processing and may take a moment, If you click multiple times it is possible that it will submit again, which could result in extra submissions. If this form has commerce, there is a chance you will be charged again based on those clicks. If this happens please reach out to us at alumni-office@wpi.edu to rectify the situation. Thank you.