National Fraternity of Kappa Delta Rho

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Kappa Delta Rho Foundation Donation Form

Donation Information

Amount:

Supporting Brother

$ 50.00

Red Rose Society

$ 100.00

Kimball Society

$ 250.00

Old Painter Hall Society

$ 500.00

Founder's Society

$ 1,000.00

Other

$

*

Designation:

Other

*

Additional Information

Type of gift:

One-time gift
Recurring gift
Pledge (installments)

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Billing Information

Title:

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Payment Method:

Credit CardBill me later

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiration:

/

*

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

help

*

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

Matching Gifts

My company will match my gift

Company:

*

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