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Housing Fund Campaign Contribution Form
This form is utilized to record contribution commitments for the G=Housing Fund Campaign
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Membership Number (Not Required)
Your answer
Company or Organization (If Nu Sigma Member, Put Nu Sigma)
*
Your answer
Dedication & Plaque Contribution Levels
*
Choose
• Foundational Window (Meeting Room), $5000, Limited Number
• Outside Bench Dedication (Front of Building), $4000, Limited Number
• Outside Bench Dedication (Back of Building), $3000, Limited Number
• Room Dedication Plaque, $3000, Limited Number
• Donors Wall, $1000
NONE
Brick Contribution Level
*
Choose
- Front of House (Two-Lines), $200
- Back of House (One-Line), $150
- Basement (One-Line), $100
NONE
Life Member Plaque Level
*
Choose
• Life Members Plaque (Name:LM#), $100
NONE
Chair Plaque
*
Choose
• Chair Plaque (One-Line), $150
NONE
Silent Donor Level (Please enter amount your are contributing)
Your answer
A copy of your responses will be emailed to the address you provided.
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