Walk of Honor Order Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Gift amount

$1,000

$250

Other

A gift of $250 qualifies you for a 4×8” red brick in the CVM Walk of Honor
A gift of $1000 or more qualifies you for an 18” paver in the CVM Walk of Honor

Tribute text if applicable

In Honor of

In Memory of

Name(s)

Do you want us to notify someone?

Yes

Notify: Name(s)

Notify: Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Notify Email

Order a Brick on the CVM Walk of Honor with a gift of $250

Three lines with 18 characters available per line, including spaces **

Line 1

Line 2

Line 3

Order a Paver on the CVM Walk of Honor with a gift of $1000

8 lines with 24 characters available per line, including spaces **

Line 1

Line 2

Line 3

Line 4

Line 5

Line 6

Line 7

Line 8

Matching

My employer will match my gift

Visit www.matchinggifts.com/NCSU

I am interested in learning about ways I can give to the College of Veterinary Medicine

Please send me more information

NOTE: After form submission you will be redirected to the NC State Giving portal. On that page select the corresponding amount for a brick ($250) or paver ($1,000).

Walk of Honor Order Form

Order a Brick on the CVM Walk of Honor with a gift of $250

Order a Paver on the CVM Walk of Honor with a gift of $1000

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