Gateway Society Enrollment - Pi Kappa Phi Fraternity

Gateway Society

The Pi Kappa Phi Foundation Gateway Society recognizes those members that have included Pi Kappa Phi in their estate plans. Through a bequest, trust, life insurance policy or other approved device, members of the Gateway Society reaffirm their belief in their Fraternity, while also helping to underwrite the future programming of the organization.

Enrollment/Verification Information*
- In recognition of my strong belief in Pi Kappa Phi Fraternity, and my desire to leave a lasting legacy in support of Pi Kappa Phi Fraternity’s mission, I hereby confirm that I have made a bequest or other planned gift.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM slash DD slash YYYY
Preferred Phone*
Email*
I have made the following type of planned gift(s) to the Pi Kappa Phi Foundation (select all that apply).*
- Gift through Will or Living Revocable Trust
- Gift that Provides Life Income
- Charitable Remainder Trust
- Charitable Lead Trust
- Life Insurance Policy
Life Insurance Policy Carrier Name*
Life Insurance Policy Number*
The estimated value of my planned gift to the Pi Kappa Phi Foundation is:*
It is the desire of the Foundation to annually recognize you as a member. By completing and returning this form, it is assumed that you intend for your name to be listed in the Pi Kappa Phi Foundation’s planned giving publications including, but not limited to, the Annual Report which is published in the spring issue of the Star & Lamp. If you would like to be listed, check "Please recognize me." If you do not wish to be listed, please check "Do not list me."*
- Please recognize me
- Do not list me
Name
This field is for validation purposes and should be left unchanged.

If you have any questions about the Gateway Society, please contact Chief Advancement Officer Steve Esworthy, chief advancement officer, at (980) 318-5366.