Page 17 - Pi Kappa Phi - UGA Campaign Materials

Campaign Pledge Agreement I, ________________________________, accept the invitation to join my brothers and hereby do pledge and agree to contribute the sum of $___________________ as part of the Building for the Next 100 Years the Campaign for Pi Kappa Phi at the University of Georgia. My gift will be paid in the following manner: m One-time payment Plan to be paid over m Quarterly (Jan/Apr/Jul/Oct) } ________________ m Semi-annually years m Annually [Maximum 5 Years] m Stock (publicly traded) m Other: m I am affliated with a company that has a matching gift program. Employer: 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: E-mail: Payment Method: Gift to be made: m Check m Stock (publicly traded) m In my name as printed above m Credit Card: ____ Visa ____ MC ____ AMEX ____ Discover m Anonymously m In honor of: Credit card payments will be automatically deducted according to the payment schedule. m In memory of: Please select one: m monthly m quarterly m semi-annually m annually Account No.: Exp. Date: Signature: Note: Please make check payable to Lambda Housing Association. † Contributions to the Lambda Housing Association, Inc. are not deductible as charitable contributions for federal income tax purposes but are essential in achieving the goal of constructing both the educational and the non-educational areas of the chapter house. Gifts or pledges other than cash are subject to the acceptance of the Lambda Housing Association, Inc. Please consult your attorney, CPA, and/or certifed fnancial advisor for professional advice regarding this pledge. Please send this Pledge Agreement to: For further information, please contact: LAMBDA HOUSING ASSOCIATION Sam Craig, Account Manager Campaign Headquarters T: 770-903-3987 F: 770-903-3988 P.O. Box 80828 | Atlanta, GA 30366-0828 E: SCraig@thelaurusgroup.net