Making gifts to the Chi Omega Foundation has never been easier or more convenient. Sign up today to make contributions on a regular basis through automated debits to checking or savings account.
Please print out this form, sign it and return with a VOIDED check.
Make your gift on-line or mail your check to Chi Omega Foundation, 3395 Players Club Parkway, Memphis TN 38125-8817. For more information call (901)748-8600, fax (901)748-8686 or email foundation@chiomega.com.
Donor Information
First Name
Maiden Name
Last Name
Email Address
Address
City
State
Zip
Country
Work Phone
Home Phone
Are you a Chi Omega Alumna?
Alumnae Information
Chapter
Initiation Year
College/University
I authorize the Chi Omega Foundation to initiate entries to my
checking account for the amount indicated below. This authority will remain
in effect until I notify the Chi Omega Foundation to cancel or change it.
I can stop payment of any entry by notifying my financial institution 10
days before my account is charged. You account will be debited on the 1st of each month.
Please debit $ from my account each month.
If you are donating toward the 1895 Society, your monthly amount should
be: ($1000/year) = $83.33
First Name