Alpha Epsilon Pi Beta Upsilon Chapter

Bradley University 1309 W. Fredonia, Peoria, IL 61606

www.buaepi.com
Alpha Epsilon Pi Philanthropy
Smash ’n Splash 2010
Bradley University Organization Sponsorship
First Name: Last Name:

Organization’s Name (to be printed):

Phone Number: - -

Email:

By submitting this form, I wish to donate $20 towards the Alpha Epsilon Pi Philanthropy and give
permission to have my organizations name on the back of the Alpha Epsilon Pi’s Philanthropy T-shirt.

This form can be submitted electronically prior to payment, but payment must be made by the deadline,
Thursday, March 25, 2010. If payment has not been received by the deadline, your organization’s name
will not be printed. No exceptions.

Payment can be dropped off at the address* provided below, and can be in the form of cash or check.
Checks can be made out to Alpha Epsilon Pi.

By checking, I agree to these terms.

Please submit this form via email to bradleyaepi@gmail.com

Sponsorship Form Instructions: *You may also submit a printed copy at:
1. Electronically fill in required information Alpha Epsilon Pi
2. Save file to a location of your choice 1309 W. Fredonia Ave.
3. Submit as attachment via email Peoria, IL 61606
If you have any questions, please contact us at bradleyaepi@gmail.com, or by using the provided
information below, and we will gladly answer any questions or concerns. Thanks!

Thank you for your generosity,

Justin Boumstein Daniel Pysno

Alpha Epsilon Pi Alpha Epsilon Pi
Philanthropy Chairman President
847-372-0621 612-716-0391
jboumstein@mail.bradley.edu dpysno@mail.bradley.edu