Keeping Our House Warm
A Campaign to Replace a 45-Year-Old Boiler at
the Phi Kappa Theta Penn State House
Pledge Agreement
I, _______________, accept the invitation to join others in support of the Phi Kappa Theta fraternity in
its mission of developing men to be effective leaders who passionately serve society, Fraternity and God
and do hereby pledge and agree to contribute the total sum of $________________ payable to
Phi Kappa Theta at Penn State.
Contributors to the Boiler Fund will be acknowledged on a plaque in the Phi Kappa Theta Penn State house.
My gift shall be paid in the following manner (please check one):
❍ One-time payment
❍ *Quarterly (Jan/Apr/July/Oct) — all months apply
❍ *Semi-Annually (o Jan/July) or (o Apr/Oct) — choose one
❍ *Annually (o Jan o Apr o July o Oct) — choose one month to receive invoice
*Phi Kappa Theta allows payments of a maximum of two years.
Gifts to the Boiler Campaign and Phi Kappa Theta are not tax deductible.
Invoice starting month/year_____________________
Today’s date___________________
(Jan/Apr/July/Oct)
Signature _ ___________________________________________________________ Date ____________________
Name _ ______________________________________________________________________________________
Print
Invoice Address _ _______________________________________________________________________________
This is my
o Home o Office
_____________________________________________________________________________________________
This is my
o Home o Office o Mobile
Preferred Phone ________________________________________________________________________________
This is my
o Personal o Professional
Preferred Email _ _______________________________________________________________________________
For further information, please contact
Melissa Wolf at Affinity Connection by phone
(1.800.598.4050 ext. 136)
or email (mwolf@affinityconnection.com)
Phi Kappa Theta at Penn State
Alumni Relations Processing Center
P.O. Box 7007
Albert Lea, MN 56007-8007
pktpsu.com
519 JAN15