…

                                                                  Building Together for the Future


Thank you for your support of the Texas Tech University School of Law. Please use this form for ordering
pavers, markers, study carrels, or benches. Return this form to Texas Tech University School of Law, 1802
Hartford Avenue, Lubbock, Texas 79409-0004 or fax to 806-742-4009. If you have any questions, please
contact Sid Walker at 806-742-3990, ext. 356 or sid.walker@ttu.edu.
Please print or type.

Name: _________________________________ Email: ___________________________________

Address: __________________________________________                      Phone: _______________________

City, State & Zip Code: ______________________________________________________________

Option 1 ­ Credit Card Payment: Charge my credit card for my contribution of $_____________.

       Name on Card: _______________________________ Signature: _____________________

       Card #: _______________________________________                     Expiration: __________________

Option 2 ­ Check: Please make checks payable to Texas Tech Law School Foundation.

Please select one of the following. One order per form. All inscriptions will be centered on marker, unless
otherwise specified.


       Brick Paver Engraved, black on red, 4" x 8". Message limited to 3 lines of 15 characters each,
       including spaces. $100.
       Stone Paver Engraved black on gray, 11.5" x 18". Message limited to 7 lines of 25 characters each,
       including spaces. $500.
       Study Carrel Engraved black on brass plaque on wood, 4" x 6". Located in the law library (main law
       school facility). Specific carrels available on a first come, first served basis. Message limited to 8 lines
       of 20 characters each, including spaces. $2,500.
       Bench Cast bronze plaque (2" x 24") on outdoor wooden bench. Benches located throughout the
       School of Law complex. Message limited to 2 lines of 60 characters each, including spaces. $5,000.

Please type or print your message in the space below.         Carrel number (if applicable): ____________