Online Brick Order

On-line Brick Order Form

If gift, recipient:
Name:
Address:

Purchaser:
Name:
Address:

Telephone:
E-mail:

Payment Options:

    Bill credit card for $150.
    A representative from the Alumni office will call you
    to take your credit card information.

    Mail a check for $150.
    Please mail your check to:
                Graceland University
                Alumni Office
                1 University Place
                Lamoni, Iowa 50140.
    Your brick will not be ordered until we receive payment.

Date:

Write your brick inscription here: