Leadership Giving Benefit Form - Founders' Circle ($7,000+)

Complete this form AFTER your donation is complete and your pledge is fulfilled.

Founders’ Circle Benefits

July 2022 Centennial Boule Registration (2)
November 2022 Centennial Founders Weekend Celebration Registration (2)
VIP Full Access (2)
VIP Reception (2)
Premier Gift Package
Centennial Leadership Giving Shirt (2)
Butler UniversityAcknowledgement
SGRho ICHQ Acknowledgement
Name listed in Centennial Souvenir Booklet
Name listed in E-blast to membership/The Aurora

Primary Donor (must match pledge/donation)

First Name *

Last Name *

Email *

July 2022 Centennial Boule

Provide name/information for attendees receiving free registration for Centennial Boule.

Attendee #1

First Name *

Last Name *

Chapter (enter 'N/A' if not a member) *

Region *

Email *

Registrant Type *

SGR Member ID (if a member)

Attendee #2

First Name *

Last Name *

Chapter (enter 'N/A' if not a member) *

Region *

Email (Must be different from Attendee #1) *

Registrant Type *

SGR Member ID (if a member)

November 2022 Centennial Founders' Weekend

Provide name/information for attendees receiving free registration for Centennial Founders' Weekend.

Attendee #1

First Name *

Last Name *

Chapter (enter 'N/A' if not a member) *

Region *

Email *

Registrant Type *

SGR Member ID (if a member)

Attendee #2

First Name *

Last Name *

Chapter (enter 'N/A' if not a member) *

Region *

Email (Must be different from Attendee #1) *

Registrant Type *

SGR Member ID (if a member)

Person who will pick up gift package and Leadership Giving shirts

First Name *

Last Name *

Email *

When will gift item(s) be picked up? *

Leadership Giving Shirt Sizes (Adult Unisex Sizing)

Name(s) to be reflected in formal acknowledgements

Please confirm spelling is correct.

Butler University Acknowledgements: Row 1 (up to 20 characters including spaces) *

Butler University Acknowledgements: Row 2 (up to 20 characters including spaces)

Sigma Gamma Rho ICHQ Acknowledgements (up to 30 characters including spaces) *

Centennial Souvenir Booklet Acknowledgements (up to 30 characters including spacing) *

Membership E-blast / Aurora Acknowledgements (up to 30 characters including spaces) *