Zete4Life USA Registration

● 100% of your donation goes back to YOUR chapter minus the costs of the Zete4Life program. Zeta Psi operates this program as a service to the alumni associations and operates it at a loss to Zeta Psi Fraternity, Inc

For more information or for contact info for questions, check out our FAQ sheet here.

Amount Information

Custom Amount Suggested amount: $10Input amount must be more than the minimum.

Please select at least one amount item.

Payment InformationBold field is required input

TitleTitle is Required

Custom TitleTitle is Required

First NameFirst Name is Required

Last NameLast Name is Required

Company NameCompany Name is Required

AddressAddress is Required

CityCity is Required

CountryCountry is Required

StateProvinceStateProvince is Required

ZipPostal CodeZipPostal Code is Required

PhonePhone is Invalid

MobileMobile is Invalid

FaxFax is Invalid

EmailEmail is Required

Re-enter EmailEmail address entries must match.

Chapter to SupportPlease Type in like so - Alpha Beta

Chapter to Support (i.e. Kappa Delta)Chapter Name is Required

Item 2Item 2 is Required

Item 3Item 3 is Required

Item 4Item 4 is Required

Item 5Item 5 is Required

Item 6Item 6 is Required

Item 7Item 7 is Required

Item 8Item 8 is Required

Item 9Item 9 is Required

Item 10Item 10 is Required

Item 11Item 11 is Required

Item 12Item 12 is Required

Item 13Item 13 is Required

Item 14Item 14 is Required

Item 15Item 15 is Required

Credit CardBank Withdrawal

Schedule Type

Begin DateBegin date must be today or later

End DateEnd date must be later than begin date

Card NumberInvalid Credit Card

ExpiryExpiry is Required

CVV2

CVV2 is Required

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