Sigma Rho ANNUAL Fund

    

 

Yes!  I’ll do my part to build the bridge for Beta’s Second Century at the University of Illinois!

 

Enclosed is my donation in the amount of (check one):  ___ $50 ___ $100 ___ (write in other amount)

 

 

NAME: _______________________________________________ Class: ______ Roll # _______

 

ADDRESS: ____________________________________________

 

CITY: __________________________________________Zip Code:______________

 

Tel. (home):(___) _____________ Tel. (work):(___) _____________  E-mail:__________________________

 

 

Please make check payable to:           Beta Theta Pi Building Association

 

Print this form, fill it out, and mail it to:     P. O. Box 11197

        Champaign, Illinois 61826-1197