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Founding Father Pledge Report Form

New Kappa Sigma Colony at: (School) Full Name: Address: Email: Major: Pledge Date: I am interested in leadership positions within the fraternity colony. I am interested in intramural sports with the new colony.
I am interested in future social activities of the chapter (road trips, sorority mixers, winter ski trips, camping trips, etc.)

Phone #:

Hometown: Senior Junior Sophmore Freshman

I am interested in job contacts with Kappa Sigma Alumni and cash scholarships from the Fraternity. I am interested in community service projects the Fraternity will participate in.

Important Reminders:
Kappa Sigma is a team and all team members are important. Kappa Sigma has extended this offer of membership into the colony because we believe that you can offer outstanding contributions to the team. Kappa Sigma has the lowest membership costs of any fraternity in North America and the colony will be able to set its own dues based on local fundraising efforts and expected social events given the below parameters. There is a financial commitment required of all colony/chapter members from the Fraternity for insurance and other leadership/membership assessments. This involves the $45 pledge fee, dues of approximately $50 per month beginning within the next 4-6 weeks, and a $150 initiation fee due upon petitioning for chapter installation (approximately 5-12 months from now). The first official event after the colony is approved is the Colony Kickoff Retreat facilitated by an official Kappa Sigma alumni officer. All colony members are required to attend.

CREDIT CARD PAYMENT FORM

Personal Information
School Name: Full Name: Address: Cell Phone: Email:

Billing Information
MasterCard Name (as it appears on card): Credit Card Number: Expiration Date: Billing Address:
(if different from above)

Visa

American Express

Discover

Security Code:

Amount:
($45 per person for one-time Pledging Fee)

I, the undersigned, hereby authorize Kappa Sigma Fraternity to charge my credit card account given above in the amount stated.
Cardhold er Signature: Date: