SEF Annual Fund 2022 – Phi Mu Alpha Sinfonia

Donor Information

Name*

Your name is required for our donor records and for the purpose of acknowledgement. You may indicate a desire to contribute anonymously later on this form. If you do so, we will not publish any reference to your name with the record of the gift.

Prefix First Middle Last

Affiliation*

I am a member of Phi Mu Alpha
I am not a member.

Your 7-Digit Member Number

If Known. If you do not know your Sinfonia member number, please contact the National Headquarters at nhq@sinfonia.org or (812) 867-2433 ext. 100 and we will be happy to help!

Select your initiating chapter/school.

Email*

Enter Email Confirm Email

Phone Number*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Donation Information

Donation Amount*

$50
$100
$250
Other Amount

Custom Donation Amount*

Please enter in your desired donation amount.

Do you wish to make this gift anonymously?*

If you wish your donation to remain anonymous, we will not publish any reference to your name with the record of the gift.

Yes
No

Does your employer offer matching contributions?*

If you select yes, you agree to be contacted by us to establish the matching gift.

Yes
No

Would you like to set up a recurring donation to the SEF*

If you select this option, we will contact you in the near future.

Yes, please contact me about setting up a recurring donation
Not at this time.

(optional) What is your primary reason for supporting Sinfonia?

Your answer to this question may be used for publication purposes.

Payment Information

Total Donation Amount

$0.00

Credit Card*

Card Details

Cardholder Name

Source Website

Fund Designation

Calculated Gift Total

Comments

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