Alpha Kappa Alpha Sorority, Incorporated
REQUEST FOR CONTRIBUTIONS
Authorization Form
Chapter Name
Chapter Address
Street
City
State
Zip
Basileus’ Name
Basileus’ Address
Street
City
State
Zip
Basileus’ Telephone Home: Work:
Basileus’ Fax
Basileus’ E-Mail
Basileus’ Signature
Date
Activity/ Event For Which Solicitations Will Be Sent
E.G. Fundraiser, Souvenir Journal
Date Of Proposed Event
Persons To Whom Solicitations Will Be Sent
E.G. Cluster Sorors, Region Sorors, Civic/Fraternal/Religious Organizations, Corporations
Disbursement Of Proceeds From Event
E.G Scholarship Fund, Community Service Project
How Does the Disbursement of These Funds Relate to Your Chapter’s Goals and Objectives as Stated in
Your Chapter’s Annual Report?
MAIL TO:
Contributions Authorization
c/o Cynthia D. Howell, Executive Director
Alpha Kappa Alpha Sorority, Incorporated
5656 South Stony Island Avenue
Chicago, IL 60637