Family Campaign

Donor Information
Are you a Theta?*

YesNo
Is a Theta

TRUEFALSE
Last Name at Initiation*
Chapter of Initiation*
Relationship to Honoree*
Relationship for SF
Your E-mail*
example@example.com
Your Name*

First NameLast Name
GAU Allocation
Customer Name
for stripe
Your Address
Street Address Line 1*
Street Address Line 2
Country*
City*
State
State / Providence
State for SF
Zip Code*
Phone Number*
Gift Information

With a donation of $100 or more by Nov. 23, the Theta in your life will receive a special, limited-edition fleece headband. Theta Foundation will use the mailing information on file with Headquarters to celebrate your Theta with your generous gift in her honor.
Honoree Name*

First NameLast Name
Honoree University Name*
Donation Amount

$100Other
Add processing fee to my donation*

Yes, I would like to make the greatest impact by adding the transaction fees to this donation.No, not at this time.
Transaction Fee
Total Donation
SF Amount
Unmatched SF Contact ID
Campaign
This should be sent in the URL to field 'campaign'. Default set to general campaign "FAM25 - Family Campaign FY25"
Student - 18 Char ID
This should be sent in the URL to field 'student' and will be used to populate Honoree address information; Default to Heather Darring ID for testing
Batch Number
Date

MonthDayYear
Date
Total Donation Amount*

prevnext( X )
USD
Should be Empty:

Donor Information