GEORGIA ALPHAN
Fall 2018
g a a l p h a . c o m
Phi Delta Theta
University of Georgia (5360)
PO Box 2187
Columbus, GA 31902-2187
Address Service Requested
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Edit your member profile at gaalpha.com,
or clip this form, place it in a stamped
envelope and send to:
Phi Delta Theta
University of Georgia (5360)
PO Box 2187
Columbus, GA 31902
Name _________________________________
Bond Number __________________________
Address _______________________________
______________________________________
City/State/Zip __________________________
Phone (H) _____________________________
Phone (W) _____________________________
Email _________________________________
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Visit gaalpha.com to:
§ Learn more about recent news and register
for any upcoming events, as well as view event
photos
§ Search for alumni
§ Make your contribution to and/or track the
progress of our Georgia Alpha Annual Fund.
§ Update your address, phone number and email
address
§ Post noteworthy accomplishments (a new baby, a
recent marriage, a recent promotion, etc.)
Yes, I Want to Support the 2018 Georgia Alpha Annual Fund!
Please clip and return this form.
5360 - 1694 - News
I wish to pledge:
r $1,000 - 1871 Society
r $500 - McGoogan Society
r $250 - Burch Society
r $100 - 690 South Lumpkin Society
r Other: $____________
Please Bill Me:
r One-Time r Monthly
r Quarterly r Twice a year
I wish to make my first payment:
r Now r On _________________
________________________________
Phone Number
r Check - Made payable to: OmegaFi
r Debit my bank account
Name On Account: _______________________
Routing Number: ________________________
Account Number: ________________________
r Charge my credit card
Card Number: __________________________
Name On Card: _________________________
Exp. Date: _________ Billing Zip: ___________
________________________________________
Signature
Payment Amount: __________ Recurring payment:
Would you like to make this a recurring payment?
r Yes r No
Process on the ________ day of the month
according to the pledge payment schedule
indicated here.
I r have included or r will consider
including Phi Delta Theta - University of Georgia
in my will or estate plan.
Please clip this form, place it in a stamped
envelope and send to:
Phi Delta Theta, University of Georgia (5360)
PO Box 2187 | Columbus, GA 31902
To make a payment online, visit gaalpha.com.