Page 4 - Theta Chi SDSU Undergraduate Packet

Building for Our Future Building for Our Future Campaign for Gamma Theta Chapter of Theta Chi Campaign for Gamma Theta Chapter of Theta Chi Campaign Headquarters | P.O. Box 80828 | Atlanta, Georgia 30366 | 770-903-3987 | 770-903-3988 Fax Campaign Headquarters | P.O. Box 80828 | Atlanta, Georgia 30366 | 770-903-3987 | 770-903-3988 Fax Undergraduate Pledge Form Undergraduate Pledge Form John Doe SAMPLE Campaign Giving I, _______________________________, accept the invitation to join my fellow fraternity brothers in our continued Campaign Giving I, _______________________________, accept the invitation to join my fellow fraternity brothers in our continued Levels support of Theta Chi and its mission of providing an opportunity for collegiate men to develop and learn skills Levels support of Theta Chi and its mission of providing an opportunity for collegiate men to develop and learn skills that will aid them throughout their lifetime. To show my support of these efforts, I do hereby pledge and agree to that will aid them throughout their lifetime. To show my support of these efforts, I do hereby pledge and agree to $1,000.00 Founder’s Society contribute the sum of $______________________________ to the Gamma Theta Alumni Association for their Founder’s Society contribute the sum of $______________________________ to the Gamma Theta Alumni Association for their $100,000 + use in association with the design and construction of our new chapter house. $100,000 + use in association with the design and construction of our new chapter house. Military Red & My gift will be paid in the following manner: Military Red & My gift will be paid in the following manner: White Society m One-time payment Plan to be paid over White Society m One-time payment Plan to be paid over 5 $50,000 - $99,999 l Quarterly (Jan/Apr/Jul/Oct) } ________________ $50,000 - $99,999 m Quarterly (Jan/Apr/Jul/Oct) } ________________ m Semi-annually years/months m Semi-annually years/months Red Carnation Red Carnation Society m Annually [Maximum 5 Years] Society m Annually [Maximum 5 Years] $25,000 - $49,999 m Stock (publicly traded) $25,000 - $49,999 m Stock (publicly traded) m Other: ___________________________________________________ m Other: ___________________________________________________ Aztec Society Aztec Society $10,000 - $24,999 m I am affliated with a company that has a matching gift program. Employer: _______________________ $10,000 - $24,999 m I am affliated with a company that has a matching gift program. Employer: _______________________ 13 Start Date (please select one): January April July October 20 ______________ Start Date (please select one): January April July October 20 ______________ John Doe 11 / 15 /14 Sword & Serpent Signature: ________________________________________________ Date: ____________________ Sword & Serpent Signature: ________________________________________________ Date: ____________________ 2015 John Doe Society Print Name: _________________________________________________ Graduation Year: __________________ Society Print Name: _________________________________________________ Graduation Year: __________________ $5,000 - $9,999 $5,000 - $9,999 1234 Central Street Preferred Address: __________________________________________________________________________ Preferred Address: __________________________________________________________________________ SAMPLE 12345 TX Springfeld November 8th Society City: __________________________________________ State: ____________ Zip: _________________ November 8th Society City: __________________________________________ State: ____________ Zip: _________________ (123) 456-7890 $2,500 - $4,999 Home Phone: ____________________________________ Work Phone: ____________________________________ $2,500 - $4,999 Home Phone: ____________________________________ Work Phone: ____________________________________ JohnDoe@email.com Cell Phone: ____________________________________ Email: ________________________________________ Cell Phone: ____________________________________ Email: ________________________________________ Norwich Society Gift to be made: l In my name as printed above Norwich Society Gift to be made: m In my name as printed above $1,000 - $2,499 $1,000 - $2,499 m In honor of: ________________________________________ m In honor of: ________________________________________ m In Memory of: ______________________________________ m In Memory of: ______________________________________ Payment Method: Payment Method: m Check m Stock m Check m Stock X l Credit Card: ____ Visa ____ MasterCard ____ American Express ____ Discover m Credit Card: ____ Visa ____ MasterCard ____ American Express ____ Discover 02 / 15 5555-1122-3456-9988 Account No.:________________________________________________ Exp. Date:_________________ Account No.:________________________________________________ Exp. Date:_________________ SAMPLE Please send this Pledge Agreement to: For further information, please contact: John Doe Signature: ____________________________________________________________________________ Signature: ____________________________________________________________________________ m This is a one-time credit card payment m This is a one-time credit card payment l Please automatically charge my credit card according to the schedule outlined above m Please automatically charge my credit card according to the schedule outlined above Note: Please make check payable to “Gamma Theta Alumni Association” Note: Please make check payable to “Gamma Theta Alumni Association” Please send this Pledge Agreement to: For further information, please contact: Building for Our Future Building for Our Future Sam Craig, Account Manager Sam Craig, Account Manager T: 770-903-3987 The Campaign for Gamma Theta of Theta Chi The Campaign for Gamma Theta of Theta Chi T: 770-903-3987 Campaign Headquarters F: 770-903-3988 Campaign Headquarters F: 770-903-3988 E: SCraig@thelaurusgroup.net P.O. Box 80828 | Atlanta, GA 30366-0828 E: SCraig@thelaurusgroup.net P.O. Box 80828 | Atlanta, GA 30366-0828