Beta Wilderness Challenge Beta Theta Pi Foundation 2007 Scholarship Pledge In support of the three 2007 sessions of The Beta Wilderness Challenge, I hereby pledge a tax-deductible gift of: _____ BWC Scholarship(s) @ $750 each for a total contribution of $_______. My scholarship gift is: _____ to be used for the benefit of an emerging undergraduate leader from any chapter or colony which is in need of leadership development support. _____ to be used for the benefit of an emerging undergraduate leader from the following chapter(s):______________________________________________________________. Payment will be made according to the following schedule (full payment or installments) by June 30, 2007. _____ Full payment (check is enclosed) _____ Full payment (VISA/MasterCard credit card: # ___________________ exp. date______ and three-digit security code on the far right side of the back of your card # __________) _____ 3 monthly installments of $250.00 (please send me reminders in April, May & June) _____ 3 monthly installments of $250.00 via my VISA/Mastercard in April, May & June: (Credit Card #__________________________________ exp. #________________ and three-digit security code on the far right side of the back of your card # __________) Please make checks payable to the Beta Theta Pi Foundation. Name ____________________________________ School & Year ______________________ (This information will be used for publicity purposes, unless otherwise requested, so please make sure that the name is provided in the exact manner you wish to be listed in the Beta Theta Pi Annual Report.) Number and Street _____________________________________________________________ City _________________ State/Province ____________ Zip/P.C. ____________________ Telephone (H) ___________________________ (W) _______________________________ Signature __________________________________________ Email____________________ Please return this form by April 1, 2007 to: Beta Theta Pi Foundation P.O. Box 6277 Oxford, OH 45056 FAX: (513) 523-2381 If you have any questions or concerns, please contact Martin Cobb, Associate Director of the Beta Theta Pi Foundation, at email@example.com or (800) 800-2382, ext. 246.