Page 8 - Tri Delta - Campaign - University of Southern California

Campaign Pledge Agreement I, ____________________________________________________, accept the invitation to join my sisters in support of our sorority in its mission to produce lifelong leaders. I hereby do pledge and agree to contribute the sum of $____________ as part of the Treasuring Tri Delta: A Trojan Tradition Campaign of the Teta Xi Chapter of Delta Delta Delta. My gift will be paid in the following manner: } m One-time payment m Monthly (credit card donors only) Plan to be paid over m Quarterly (Jan/Apr/Jul/Oct) ________________ years/months m Semi-annually m Annually [Maximum 5 Years] Start Date (please select one): m January m April m July m October 20 _______ Signature: ____________________________________________________________________ Date: ____________________ Print Name: __________________________________________________________ Initiation Year: __________________ Preferred Address: _______________________________________________________________________________________ City: _________________________________________________ State: ____________ Zip: _________________ Home Phone: _________________________________________ Work Phone: ___________________________________________ Cell Phone: _________________________________________ Email: _______________________________________________ Gift to be made: m In my name as printed above m In honor of: ________________________ m In honor of my Pledge Class: _________________________ m In Memory of: ______________________________________ Payment Method: m Check m Credit Card: ____ Visa ____ MasterCard ____ American Express ____ Discover Credit card payments will be automatically deducted according to the payment schedule below. Please select one: m one-time payment m monthly m quarterly m semi-annually m annually Account No: _________________________________________________________________ Exp. Date: _______________________ Signature: _______________________________________________________________________________________________ Note: Please make scheduled pledge payments payable to “Teta Xi House Corporation of Delta Delta Delta” Please send this Pledge Agreement to: For further information, please contact: Treasuring Tri Delta Jamie Haas, Account Manager Campaign for Teta Xi T: 770-903-3987 Campaign Headquarters F: 770-903-3988 P.O. Box 80828 | Atlanta, GA 30366-0828 E: jhaas@thelaurusgroup.net