Donation Form

  • Alpha Phi Alpha Fraternity, Inc.

    Beta Omicron Alumni Association

     

    1906                                                                                                                1934  

    Donation Form Shield                      

     

    ALPHA PHI ALPHA - BETA OMICRON MONUMENT/ MEMORIAL

    “Creating a Legacy That Will Stand for Generations”

    “Two Gates for Transformation”

     

    Please fill out this form and include this with your check and send a copy to the committee members listed below.  Send in payment by August 29th for installation by Homecoming.  Permanent donor recognition on the monument exists at three levels: $500-999, $1000-2999, $3000 & over.

     

    I want to contribute ð $3000  ð $1000  ð $500  ð$______ toward the monument and the Brothers Alvin W. Marley / Damon Lee, Jr.  and the King/Pugh Scholarship Awards.

    I authorize the TSU Foundation to release the amount of my gift to the BOAA Endowment Fund contact person.

    (Please sign so that your donation can be verified.)_____________________________________________________________

     

    Please list your name (first name, middle initial and last name) and call number as you want it on the brick, paver or side of bench.  No titles will be used.

    Name:_______________________________________________________________________________

    Street:_______________________________________________________________________________

    City, State, Zip;________________________________________________________________________

    Telephone (H) _____________________________Telephone (W)_______________________________

    Telephone (C)_____________________________E-mail_______________________________________

    Call number: Line position & Season / Year of intake (Ex. 22-BO-61Fa)___________________________

     

    I authorize the TSU Foundation to release the amount of my gift to the BOAA Endowment Fund contact person.

    (Please sign so that your donation can be verified.)_____________________________________________________________

    How to donate to the AFA – Beta Omicron Monument and Scholarship Endowment Fund -       

    1. By corporate gifts / matching funds (contact Harry Taylor if you are planning to use them)
    2. By check (payable to AFA – BO Endowment Fundand mail to address below)

    Tennessee State University Foundation

    3500 John A. Merritt Blvd.

    Campus Box 9542,

    Nashville, TN 37209

    1. By credit card (visit TSU Foundation online at http://www.tnstate.edu/foundation/give.aspx, select Other and indicate AFA – Beta Omicron Endowment Fund in the comments section)
    2. By phone (call the TSU Foundation at 615-963-5481 and provide your credit card information)

    Email completed form to Bro. Harry Taylor. Make sure to include your name, contribution amount, and call number as you want it specified on the brick/paver.  The TSU Foundation will not provide that information directly to the BO Monument Committee.

    For further information contact BO Monument Committee Members:

    Harry W. Taylor, Chair (HarryT40@msn.com, 202-546-0527, 300 E St NE / Washington, DC 20002)

    Alvin Marley, Treasurer (ALWMarley@aol.com)

    Robert Greene, Fundraising Chair (chilig53@comcast.net)

     

    *THANKS FOR YOUR DONATION & SUPPORT*

     

  • Folders

    Folder 2012 Monument Campaign Forms This folder contains the 2012 PDF version of the: 1. Paver or Brick Form 2. Monument Form 3. Donor Recognition Listing