theta chi for life donation form

Theta Chi For Life Fund

If you are interested in signing up to the Theta Chi for Life Fund, please fill out the form below and print off. You can then send the form to the address at the bottom of the form. Thank You!!

Name:
Address:
City, State Zip:
Phone:
E-mail:

One Time Contribution $
Theta Chi For Life Fund $ ***
To be billed
I will pay by:
Credit Card Account #:
Expiration Date: Month/Year - /
Name on Card:

Comments

*** Theta Chi For Life Fund is a $200 a year pledge for the next five years. With YOUR help, we will meet our goal of raising $125,000. All contributions will go directly towards paying off the house mortgage, performing important house improvements, and making Phi Alumni contributors know they are helping the fraternity that continues to contribute to them. Statements will be sent out to you from the Alumni Treasurer at your billing request.

If mailing checks please make them payable to, and mail to:
Theta Chi Alumni
P.O. Box 163
West Fargo, ND 58078-0163

Note: Once you hit submit you will not be able to change you entries. Please check your information before submitting. Thank You!