Ken Young Club Donation Form

Auburn Delta Chi

Feel free to donate any amount. If you donate any value $100 or above you will be a part of the Ken Young $100 club

Legal First Name:

Legal Last Name:

Email Address

Phone number

A payment receipt will be sent to the email address listed above for payments made via credit or debit card upon transaction authorization.

Card Type

Card Number

Name on Card

Card Expiration

CVV2:

Credit Card Billing Zip Code

Amount

House Improvement

Comments:

If you have questions, please contact:

Jack Freeman

jrf0072@auburn.edu

(205) 704 - 0243