Sigma Omicron Chapter
of Tau Kappa Epsilon


PERSONAL INFORMATION - Fill in the following information. All donors will receive a letter of acknowledgment, a certificate of appreciation and recognition at our Ribbon Cutting Ceremony.

First Name:
Middle Initial:
Last Name:

Phone Number:
Email Address:
Company Name:   (for corporate donors only)
Country:   (if other than US)

Mailing Address:
Street:     Suite/Apt.#
City:     State:
Zip:

DONATION INFORMATION - All donation levels are for a 2-year total. For details about the different levels, please see below. All donors ABOVE the Brick Level will be contacted to obtain the details pertaining to that specific level. Within the levels that involve naming the house, rooms and common areas, the donor with the highest 2-year contribution will be awarded first preference. If you have any suggestions or would like to name an area that is not listed - we would love to hear about it!
Apollo Benefactor(s) Level, $25,000          Founder Level, $1,000
Knights of Classic Lore Level, $10,000          Horseshoe Level, $500
Red Carnation Level, $5,000          Brick Level, $100
Equilateral Level, $2,500          Other:  

PAYMENT OPTIONS
One Time Payment          Eight Payments
Two Payments          Twelve Payments
Four Payments          Twenty-Four Payments

PAY WITH
Check          Sign me up for montly payment subscription
Credit Card (may involve additional fees)          Please contact me

HOW SHOULD YOUR BRICK READ? You can choose between 1-4 lines. Text size is according to number of lines used.