I would like to make a donation to the Kappa Alpha Order Educational Foundation in the amount of $
If you would prefer to make a donation by telephone please call (540)463-1865.
First Name
Middle Initial
Last Name
Chapter
Year of Initiation
Social Security #
Date of Birth
Home Address Information
Home Address
City
State
Zip Code
Home Phone
Email Address
Career Information
Current Employer
Current Position
Employer Address
City
State
Zip Code
Office Phone
FAX
Does your employer
match charitable gifts?
If so, please forward your company's matching gift form to the address below.
Gift Designation/Other
Honorarium (Optional)
My gift is
Name
Chapter
Year of Initiation
The Foundation will send a handsome card to the person or family informing them of your gift. The amount of the gift is not disclosed. Please tell us to whom the card should be sent:
Name
Address
City
State
Zip Code
Payment Options for making your Donation
Pick one of the following ways to make your gift:
I would like to print this form and mail it with my check to:
Kappa Alpha Order Educational Foundation,
P.O. Box 1865,
Lexington VA 24450
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