Date: _____

Alpha Zeta Financial Contract – Spring 2012

I, ______, agree to make all payments, including but not limited to dues, insurance fees, big brother fees, as stated in the “Big Brother Contract”, activity fees, and payments for letters, big/little dinner and alumni event, etc. in full due to the Fraternity of Alpha Zeta, Cook Chapter, by ________. I also agree that if dues are not submitted by the above date I agree to the following course of action:

  1. Every consecutive brother meeting that dues have not been submitted, dues will increase $10 per meeting.
  2. If dues are not submitted by the third brother meeting after initial collection (____) the brother will not be allowed to attend Formal for that semester.
  3. If dues are not submitted by the last brother meeting (____) the brother will be put on an inactive status for the following semester.
  4. If a brother’s debt becomes significant the executive board reserves the right to contact OFSA (Office of Fraternity and Sorority Affairs) and enact the amendment stated below.

“______(name of student) (and his PARENT OR GUARDIAN, if he is a minor) expressly agrees that the request of Alpha Zeta Fraternity, Rutgers, the State University of New Jersey, may encumber (hold) the records of ______(Name of Student) for failure to pay, when due, all room rental, food charges, and dues that apply uniformly to all members of the chapter

______(Name of Student and his PARENT or GUARDIAN, if he is a minor) expressly authorizes the University to make such encumbrances with the knowledge that such encumbrances may deny ______(Name of Student) access to his/her transcript of academic records and preclude him/her from continued enrollment in the University. This Agreement and Authorization shall not apply to any obligations which may be incurred by ______(Name of Student) after he/she ceases to be a student at Rutgers University”

I understand that if I have a problem with paying any dues I will speak to the executive board and arrange a payment plan. All arrangements for payment plans must be discussed with the treasurer before the meeting where initial collections are taken. If I am part of a committee and need a reimbursement of any kind for providing materials/supplies/food for an event, I understand that I must first have the materials approved and second, provide a receipt to the Treasurer for documentation. Failure to present a valid receipt will result in loss of compensation. Failure to pay any kind of fees by the stated date above will result in disciplinary action at the discretion of the current Executive Board.

Payments due:

Dues - $62Insurance - $3Big/Little Dinner - ~$40

Activity Fee - $10Letters - ~$20Alumni Event - ~$20

Name: ______Date: ______

Signature: ______

Chancellor: ______