Memorial Brick – Order by Mail

Purchase a Memorial Brick

TASF One Brick At A Time Fundraiser Purchase Form

Support the Tupac Amaru Shakur Foundation by purchasing a brick engraved with your company logo or your own personal message! Your brick will be constructed into the Peace Garden of the Tupac Shakur Center for the Arts.

Send checks or money orders to:
Tupac Amaru Shakur Foundation
c/o Jeff Pitts
Spring Asset Management
17711 W. Strack Drive
Spring, Texas 77379

The Tupac Amaru Shakur Foundation is a 501c3 organization. Tax ID 582512839.

Type of Event*
Name of Event
Group/Company
Contact Person*
Phone #*
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Email
Alternate Contact
Alternate Contact Phone
Alternate Contact Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Alternate Contact Email
EVENT DETAIL
Date of Event*
Estimated Attendance
Set Up Start Time - AM/PM
Event Start Time - AM/PM
End Time - AM/PM
Please indicate event type
- Reception
- Theatre seating
- Party
- Youth (under 18)
- Adult (over 18)
- Other
If you selected "Other" please enter below
Special Needs:
The following items come with the rental. Please indicate any items you will be requesting and the quantities you will need.
Chairs - Qty
Tables - Qty
Are there any special needs not listed above? If yes, pleas list them in detail.
Terms & Conditions*
- I accept and have read the Terms & Conditions
I have read the Tupac Amaru Shakur Center for the Arts Rental Application in its entirety and have filled in accurate information as it relates to my event. I understand that this is an application only and that upon review of my application a representative from the Tupac Amaru Shakur Center for the Arts will contact me as to whether or not my application has been approved.

Memorial Brick – Order by Mail

Purchase a Memorial Brick

EVENT DETAIL

Special Needs: