Phi Mu Foundation Remittance Form
If you made a donation on behalf of your chapter on the Phi Mu Foundation website or used Re:Members Online BillPay please fill this remittance form out.
Name of Person Submitting Form:
*
First Name
Last Name
Officer Title:
*
Name of Chapter:
*
School Name:
*
Email
*
example@example.com
Chapter Donation Details
True to Phi Mu Donation Amount
*
Donation Method - Check One of the Following:
*
Check (or money order)
Re:Members Online Bill Pay
Donation made on Phi Mu Foundation Website
Check Number:
Name Used to Make Donation on the Website:
Date Donation was Made/Sent:
Attach Receipt of Payment
*
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If you billed your members, you can attach a list of chapter members (First & Last) who opted in.
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Complete the information below if your chapter hosted a fundraiser in support of Phi Mu Foundation
Fundraising Event Name:
Type of Event
Campus Fundraiser
Online Fundraiser
Double Good
Crowdsourced
Date(s) of Fundraising Event:
Total Amount Raised:
Tell us more about your fundraising event:
You can attach event photos here, email them to lschuerr@phimufoundation.org, or tag @PhiMuFoundation on social media.
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Submit
Should be Empty: