National Pan-Hellenic Council of NIU
Yard Brick Order Form
Name:___________________________________________________________
Address:__________________________________________________________
City___________________________ State________ Zip Code:______________
Phone (____)________-___________ Email: _____________________________
Please check the size of brick you would like to order:
Check
Brick
Size
Price
Small Rectangle
5.85”x3.90”
$50
Small Square
5.85”x5.85”
$75
Medium Rectangle
7.80”x5.85”
$150
Large Rectangle
11.70”x5.85”
$300
Large Square
11.70”x11.70”
$500
Number of Characters
3 lines-13 Characters per line
4 lines-8 Characters per line
4 lines-8 Characters per line
4 lines-16 Characters per line
8 lines-16 Characters per line
*Please note, these prices are only available for the month of March. Prices will increase by $25 starting April 1st.
Text to be included on brick (Please print one character per box. Please note: spaces
count as one character):
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Please make all checks payable to Northern Illinois University.
Thank you for helping to contribute to the yard of the National Pan-Hellenic Council at
Northern Illinois University.