BUY A BRICK
Complete this form, and mail to: Rochester Institute of Technology/ Office of Development
PO Box 92765/ Rochester, NY 14692-8865
Remember to select your fund of choice below.
You can personalize your brick for any occasion or celebration:
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Graduation
Class Year
Greek Affiliation
Athletics
 “In memory of …” or “In honor of…” someone special to you
 Special characters such as a
and more
 For more information, please visit rit.edu/buyabrickprogram
or contact us at 800.477.0376
Note: Please print. 15 characters/line (3 lines for 4"x8" brick; 6 lines for 8"x8" paver).
Spaces, punctuation marks and special characters count as characters.
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WITH A GIFT OF  $175 (4"x8" brick)  $250 (8"x8" paver)
____________________________________________________________________
name
Line 1
____________________________________________________________________
Line 2
address
____________________________________________________________________
citystate zip
Line 3
3 lines for
4”x8” brick
Line 4
____________________________________________________________________
Line 5
email
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GIVING OPTIONS
 Check (payable to Rochester Institute of Technology)
 Charge: American Express Discover
MasterCard
VISA
Line 6
6 lines for
8”x8” paver
____________________________________________________________________
card number
exp date
cvv
sample 4"x8" brick
SUPPORT STUDENT SUCCESS
Direct your gift to the scholarship or student life fund of your choice from the list below.
If no choice is made, your gift will be directed to RIT’s General Scholarship Fund.
Special Funds
 Alumni Legacy Endowed Scholarship
 General Scholarship Fund (need based)
 Nathaniel Rochester Society Scholarship (merit based)
 Parents Endowed Scholarship
 Tiger Spirit Fund
Colleges and Degree Programs
 College of Applied Science and Technology Alumni
Endowed Scholarship
 College of Health Sciences and Technology Scholarship
 College of Liberal Arts Alumni and Friends Endowed Scholarship
 College of Science Alumni Endowed Scholarship
 School of Individualized Study Merit Scholarship
 Golisano College Alumni Endowed Scholarship
 Golisano Institute for Sustainability Scholarship
 Gleason College Alumni Endowed Scholarship
 NTID Foundation Endowed Scholarship
 Saunders College of Business Alumni Endowed Scholarship
 School for American Crafts Alumni Scholarship
 School of Art Alumni Scholarship
 School of Design Alumni Scholarship
 School of Film and Animation Alumni Scholarship
 School of Photographic Arts and Sciences Alumni Scholarship
 School of Media Sciences Alumni Scholarship
 University Studies Scholarship
Questions? Visit rit.edu/buyabrickprogram or call 800.477.0376.
Thank you for your support!
Rochester Institute of Technology / Office of Development
PO Box 92765 / Rochester, NY 14692-8865
01000000BABXX0000000