Donation

Alyn Scholarship Fund - Donation Form

Individuals, Married Couples & Owners of Pass-Through Entities

* First Name:
* Last Name:
* SSN

C-corporations & Trusts

Company:
FEIN:

Choose the Amount of Your Donation

* Amount approved by GA Dept of Revenue: $1,000
$1,250
$2,500
$10,000
Other Amount

Mailing Address

* Address:
* City:
* State:
* Zip Code: -

Billing Information
* Credit Card Type:
* Credit Card Number:
* Card Expiration:
* Credit Card CVV2:
* Cardholder First Name:
* Cardholder Last Name:
* Zip Code: -
    
NOTE: Please only click the 'Submit' button once. Your payment may take time to process.

E-Check payments can only be processed from United States banks.
E-Check Billing Information
  Institution:
* Routing Number:
* Account Number:
* Account Type:
* Account Owner Full Name:
NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

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