Dues and Donation Web Form -- Return to: NAP Home or Dues Instructions
 
_______________________________________ _______ __________
Name Class Year Maggot #
_____________________________________________________________________
Street Address
_____________________________________________________________________
 
_______________________________________ _____ __________
CityStateZip Code
_______________________________________
Telephone Number
 
http://___________________________________ ______________________
Web Site E-mail Address
_________________________________________ ______________________
Instant Messaging Service Instant Message Address
 

Please allocate my donation to Nu Alpha Phi as indicated:
$__________2007 Dues ($10/yr)
$__________Back Dues
$__________Wash Fund
$__________General Fund
$__________Nu Alpha Phi Memorial Scholarship Fund, in the name of:

____________________________________________

Write a separate check for Scholarship Fund donations to receive a prompt and proper IRS receipt from Pomona College. Scholarship Fund donations count toward alumni gifts, class gifts, and membership in the Associates, Torchbearers, etc.

Dues and Donation Web Form -- Return to: NAP Home or Dues Instructions