Kutztown University: Foundation

Alumni Plaza Pledge

All bricks must be paid in full before installation and inscription forms must be submitted by May 31 of each year in order to be installed during the summer months.

Inscription form will be sent to you upon receipt of pledge. Please fill out the form below and press the "Submit" button.

All fields highlighted in RED are required to submit this form.

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:
E mail:
I wish to purchase an Alumni Plaza brick:	$300 $500 $1000 Contact me with other naming opportunities such as a tree, bench, memorial, larger brick or the campus-wide arboretum plan.
Installment Schedule:	Quarterly over one year Annually over two years Full Payment
Payment:	Check Credit Please send a check (made payable to Kutztown University Foundation) to: Kutztown University Foundation, PO Box 151, Kutztown, PA 19530 If you wish to pay via Credit Card, please call the KU Foundation at (610) 683 1394

15200 Kutztown Road • Kutztown PA. 19530
Kutztown University of Pennsylvania • P.O. Box 730 • Kutztown, PA 19530
(610) 683-4000 • TDD (610) 683-1315, (610) 683-4499
Member of Pennsylvania's State System of Higher Education

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