Brick Campaign Order Form

Brick Campaign Order Form

Please make sure to fill in the required fields and submit this form to complete your order.
Legacy Brick Placard Description

Each legacy brick features a professionally printed plaque, permanently mounted and displayed inside the Omega Center. Plaques are designed with a brushed finish and printed to include your name, line number, chapter, and year, along with the four cardinal principles of Omega Psi Phi Fraternity, Inc. — Manhood, Scholarship, Perseverance, and Uplift— subtly printed at each corner, with the escutcheon displayed behind your name.

This commemorative brick serves as a lasting tribute and a visible symbol of your commitment, legacy, and service. All proceeds from the Legacy Brick Campaign directly support the operation and long-term sustainability of the Omega Center.

Contributions are tax-deductible to the extent permitted by law. Lifting As We Climb Foundation is a 501(c)(3) nonprofit organization. No goods or services are provided in exchange for this contribution other than the commemorative display.
Full Name*

First NameLast Name
Line Number*
Chapter*
Year*
E-mail*
example@example.com
Contact Number*

My Products*

Engraved Placard for 16 in x 8 in BrickCost is $500, make a selection on how you would like to submit your payment

$513.10

Total

$0.00

To avoid credit card processing fees, you may submit your $500 contribution using one of the options below: CONFIRM how you want to send your payment.*

Yes, I will send $500 via CashApp to $BMNLAWCFYes, I will send $500 via Venmo to @BMNLAWCFNo, I will pay the fees to process via credit card
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty: