Walk of the Minds Commemorate an event or honor someone special and support the Foundation's drive to build a home for Mensa. Buy a brick in the Walk of the Minds, and your name or the name of someone you wish to honor or memorialize will be placed in the sidewalk leading to the American Mensa building. You will receive a deed to your part of the Walk of the Minds. You can count on me to support the Foundation and American Mensa's new home. I will: Buy a Brick  ($200) Share a Brick  ($100) Buy a Lapel Pin  ($25) Buy a Deed  ($10) Enclosed is a check for $  Please make checks payable to: Mensa Education & Research Foundation I authorize $  to be charged to my: Mastercard Visa Account Number:   Expiration Date:   01 02 03 04 05 06 07 08 09 10 11 12    2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Signature: _______________________________________ Words to be engraved on the brick: Six lines: maximum 20 characters and spaces per line. Share-a-brick: three lines, maximum 20 characters and spaces per line. This form may be mailed to: Mensa Education & Research Foundation 1229 Corporate Drive West Arlington, Texas 76006-6103 (817) 607-0060 ext. 123