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Please indicate whether you are donating to the General Funds (GF) or to the Permanent Endowment Fund (PEF) of the Mu Sigma Phi Foundation. See Instructions on HOW TO DONATE page on the website: www.themufoundation.org for the difference between the 2 funds.

A. RESTRICTED

Scholarship
GF Amount
PEF Amount
Total
UP College of Medicine Faculty Support (Professorial Chair or Faculty Grant)
GF Amount
PEF Amount
Total
Philippine General Hospital (Patient Care or Equipment)
GF Amount
PEF Amount
Total
Immunization Project
GF Amount
PEF Amount
Total
Disaster Relief Fund
GF Amount
PEF Amount
Total
MU Water Fund
GF Amount
PEF Amount
Total
Gawad Kalinga (GK) Christmas Fund
GF Amount
PEF Amount
Total
Other
GF Amount
PEF Amount
Total
Total
GF Amount
PEF Amount
Total

B. UNRESTRICTED

Total
GF Amount
PEF Amount
Total

C. GENERAL INFORMATION TO BE FILLED OUT:

Name
Untitled
Address
(Donation receipt will be sent here)
I agree to pay the above donation
My donation is enclosed and paid for via
See the Donation Page on website regarding instructions on where to mail the check.
MM slash DD slash YYYY
Submit this form with your donation. Without this DOD, your donation of more than $500.00 will automatically go to UNRESTRICTED FUNDS.