One Day. One KU. Offline Gift Form

ONE DAY. ONE KU.
OFFLINE GIFT FORM

Department(Required)

Email(Required)

First Name(Required)

If this is a joint gift, please include both first names. For example, "John and Jane"

Last Name(Required)

Amount(Required)

Address Line 1

Address Line 2

City

State(Required)

Zip

Country(Required)

Cell Phone

Home Phone

Note

Public Donor Wall Options(Required)

Please note that your donation amount will not be displayed.

Allocation Name(Required)

Allocation Number(Required)

Method of Payment(Required)

Is the donor affiliated with any of the following:(Required)

Name of person submitting form:(Required)

Additional information regarding this gift: