Dues/Oak Leaf Support Page

Instructions: Print this page, write or type the relevant information, and send it, along with your check, to:

Nu Alpha Phi Oak Leaf
Pomona College Alumni House
333 North College Way
Claremont, CA 91711-6318

Write your news and comments on the back or use a separate sheet.

_______________________________________	_______	__________
Name	Class Year	Maggot #
_____________________________________________________________________
Street Address
_______________________________________	_____	__________
City	State	Zip Code
http://___________________________________	______________________
Web Site	E-mail Address
Please allocate my donation to Nu Alpha Phi as indicated:

$__________	Nu Alpha Phi Memorial Scholarship Fund, in the name of:
	____________________________________________
$__________	Oak Leaf/Dues
$__________	Cabin Fund
$__________	Wash Fund