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Kappa Nu Chapter of Phi Gamma Delta at Cornell

Title:

First name:*

M.I.

Last Name:*

Suffix

Graduation Year:*

I accept the invitation to join others in support of our Kappa Nu Chapter and fraternity in its ideals of friendship, knowledge, service, morality, and excellence, and do hereby pledge and agree to contribute to The Phi Gamma Delta Gift Account (fund 659700) for use in The Oaks 21 capital campaign. My pledge is in the amount of:

My gift will be paid in the following manner:*

One-Time PaymentQuarterly (Jan/April/July/Oct)Semi-Annually(Jan & July or April & Oct)Annually

My gift will be paid over the following number of years:*

Start Date:*

Start Year*

Notes:

Electronic Signature: First and Last Initials AND your Birthdate (i.e. EH0913)*

Gift to be made:*

In my name printed aboveIn memory of: (please enter name below)In honor of: (please enter name below)Other

Contact Information

Preferred Address:*

City*

State*

Zip*

Home Phone*

Cell Phone

Work Phone

E-mail*

Employer

Position

Payment Information

Payment Method*

Check (Make check payable to Cornell University - Phi Gamma Delta Gift Account 659700).Stock (Contact the campaign office for instructions).Credit Card (Visa, MasterCard, Discover and American Express credit cards are accepted by Cornell University). To make an online payment, go to https://www.giving.cornell.edu. Be sure to designate your gift for the Phi Gamma Delta Gift Account #659700 to ensure your commitment is properly designated for the Phi Gamma Delta/Oaks 21 Campaign.Other

Gifts to the Cornell University Phi Gamma Delta Gift Account can be made in any amount. Please make your check payable to Cornell University—Phi Gamma Delta Gift Account #659700. Gifts to Cornell University for the Phi Gamma Delta Gift Account are eligible for tax deductibility.

Pledge forms and payments should be mailed to:
Cornell Association of Phi Gamma Delta, Leadership & Legacy Campaign, P.O. Box 876, Ithaca, NY 14851-0876.

If you have any questions, please contact the administrative office at 1-607-533-9600 ext. 224.

Your pledge of support for the Oaks 21: Leadership and Legacy Campaign is greatly appreciated.