Card Connect Order Form Order Form - CardConnect Select your chapters or organization*Alpha—SyracuseBeta—NorthwesternGamma—DePauwDelta—CornellEpsilon—MinnesotaEta—BostonTheta —MichiganIota—WisconsinKappa—StanfordLambda—UC BerkeleyNu—NebraskaXi—TorontoOmicron—MissouriPi—North DakotaRho—Ohio StateSigma—WashingtonTau—OregonUpsilon—WashburnPhi—OklahomaChi—MontanaPsi—South DakotaOmega—TexasBeta Alpha—IllinoisBeta Beta—Michigan StateBeta Gamma—ColoradoBeta Delta—UCLABeta Epsilon—ArizonaBeta Zeta—IdahoBeta Eta—ManitobaBeta Theta—British ColumbiaBeta Iota—West VirginiaBeta Mu—AlabamaBeta Nu—DukeBeta Omicron—Bowling GreenBeta Pi—USCBeta Rho—Washington StateBeta Sigma—UtahBeta Tau—IndianaBeta Upsilon—Oregon StateBeta Phi—WhitmanBeta Psi—San Jose StateBeta Omega—Kent StateGamma Alpha—San Diego StateGamma Beta—UC Santa BarbaraGamma Epsilon—Lake ForestGamma Zeta—Puget SoundGamma Eta—North TexasGamma Iota—Texas TechGamma Kappa—CSU Long BeachGamma Nu—Miami UniversityGamma Xi—Wichita StateGamma Omicron—DrakeGamma Pi—Arizona StateGamma Rho—Penn StateGamma Sigma—Wisconsin StoutGamma Tau—WillametteGamma Phi—Florida StateGamma Omega—Midwestern StateDelta Alpha—East CarolinaDelta Beta—Texas A&M CommerceDelta Gamma—Northern ColoradoDelta Delta—Oklahoma CityDelta Epsilon—IowaDelta Zeta—MarylandDelta Eta—AdrianDelta Theta—Western MichiganDelta Kappa—Wisconsin La CrosseDelta Mu—PurdueDelta Nu—MaineDelta Xi—Nebraska KearneyDelta Pi—Indiana StateDelta Rho—Ball StateDelta Tau—LSUDelta Upsilon—Baldwin WallaceDelta Chi—William WoodsEpsilon Alpha—AshlandEpsilon Beta—ButlerEpsilon Gamma—Sacramento StateEpsilon Delta—Northern IllinoisEpsilon Eta—Old DominionEpsilon Theta—Northern IowaEpsilon Iota—DuquesneEpsilon Kappa—West ChesterEpsilon Nu—DelawareEpsilon Xi—Southern IllinoisEpsilon Rho—UC DavisEpsilon Upsilon—CSU NorthridgeEpsilon Chi—Cal PolyEpsilon Psi—LehighZeta Alpha—Eastern IllinoisZeta Beta—Loyola MarymountZeta Gamma—Santa ClaraZeta Delta—Iowa StateZeta Epsilon—Indiana U. SoutheastZeta Theta—TuftsZeta Iota—VirginiaZeta Xi—ElmhurstZeta Omicron—Johns HopkinsZeta Pi—Case Western ReserveZeta Rho—BentleyZeta Sigma—Franklin & MarshallZeta Upsilon—Washington UniversityZeta Phi—MITZeta Psi—DaytonEta Alpha—New HampshireEta Beta—CSU San BernardinoEta Gamma—AkronEta Delta—CSU East BayEta Epsilon—VillanovaEta Eta—Seton HallEta Theta—San Francisco StateEta Iota—PennsylvaniaEta Kappa—UC IrvineEta Lambda—George MasonEta Mu—MarquetteEta Xi—UNC WilmingtonEta Omicron—Virginia TechEta Sigma—LafayetteEta Tau—SUNY CortlandEta Upsilon—ChapmanEta Chi—Bishop'sEta Psi—Eastern WashingtonEta Omega—TowsonTheta Alpha—LinfieldTheta Delta—CreightonTheta Epsilon—SUNY BuffaloTheta Zeta—Florida TechTheta Eta—Western UniversityTheta Theta—St. Joseph'sTheta Iota—James MadisonTheta Kappa—RochesterTheta Lambda—Central MissouriTheta Mu—HofstraTheta Nu—Appalachian StateTheta Xi—ShippensburgTheta Rho—CameronTheta Sigma—Southern UtahTheta Tau—RensselaerTheta Upsilon—CSU ChicoTheta Phi—Christopher NewportTheta Psi—SUNY PlattsburghTheta Omega—BarryIota Alpha—PepperdineIota Beta—St. Mary'sIota Gamma—University of the PacificIota Epsilon—KetteringIota Zeta—Colorado School of MinesIota Eta—DePaulIota Theta—Wilfrid LaurierIota Iota—George WashingtonIota Kappa—DartmouthIota Lambda—ConnecticutIota Mu—Georgia TechIota Nu—KentuckyIota Xi—DenverIota Omicron—WPIIota Pi—Northern ArizonaIota Rho—ClemsonIota Sigma—Carnegie MellonIota Tau—HarvardIota Upsilon—OttawaIota Phi—St. FrancisIota Chi—YaleIota Psi—North FloridaIota Omega—Ole MissKappa Alpha—UNC Chapel HillKappa Beta—UC San DiegoKappa Gamma—Southeast Missouri StateKappa Delta—Stevens Institute of TechnologyKappa Epsilon—GeorgiaKappa Zeta—McGillKappa Eta—FloridaKappa Theta—BaylorKappa Iota - WyomingOther (Alpha Phi Fraternity, alumnae chapter, etc.)If other, please provide your GiveSmart account or organization nameYour Name* First Last Cell Phone:*Preferred Email* Enter Email Confirm Email If known, please provide the name of your upcoming event?If known, please provide your event date? MM slash DD slash YYYY Has your event been submitted to Alpha Phi Foundation yet? If no, please submit your event ASAP. Place your order We recommend one card reader for every 100 attendees.CardConnect Credit Card Swiper Quantity Price: Quantity*Please enter a number from 1 to 10.ShippingGround (5-7 days)2nd Day Air (2 days)Total $0.00 Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment Method Card readers will be shipped via US Postal Service or United Parcel Service. If you require overnight FedEX shipment, please contact Alpha Phi Foundation at 847.316.8955.Name on Credit Card* First Last Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name CAPTCHA
