Your gift of $125 or more to the Alpha Gamma Delta Foundation ensures we will send you these Alpha Gam friendship bracelets for your favorite Alpha Gam. Let her know you love her and support her sisterhood in Alpha Gamma Delta! Donation Amount Gift amount: $200 Pearl Necklace Offer$125 $75 $50 Other: I wish to cover transaction costs for Alpha Gamma Delta (increase my donation to accomplish this) Total: Amount: Designation Designation:Annual Fund / Area of Greatest Needother Designation: Billing Address My Initiating Chapter: Donor Name: Title: First name: Last name: Email: Phone: Country:AustraliaCanadaNew ZealandSGPUnited KingdomUnited States Address: City: State/Province & Zip/Postal Code: State: stateAAAEALAKABASAPAZARBCCACZCOCTDEDCFMFLGAGUHaHIIDILINIAKSKYLAMEMBMHMDMAMIMNMSMOMTNENVNBNHNJNMNYNLNCNDMPNTNSNSWNUOHOKONORPWPAPEPRQCRIRomSKSCSDTNTXUTVTVIVAWAWVWIWYX1YTZip: City & county: City: County:countyEnglandWalesKent Postcode: City: Province & postal: Province: provinceAAAEALAKABASAPAZARBCCACZCOCTDEDCFMFLGAGUHaHIIDILINIAKSKYLAMEMBMHMDMAMIMNMSMOMTNENVNBNHNJNMNYNLNCNDMPNTNSNSWNUOHOKONORPWPAPEPRQCRIRomSKSCSDTNTXUTVTVIVAWAWVWIWYX1YTPostal: Suburb: State & postcode: State: stateAAAEALAKABASAPAZARBCCACZCOCTDEDCFMFLGAGUHaHIIDILINIAKSKYLAMEMBMHMDMAMIMNMSMOMTNENVNBNHNJNMNYNLNCNDMPNTNSNSWNUOHOKONORPWPAPEPRQCRIRomSKSCSDTNTXUTVTVIVAWAWVWIWYX1YTPostcode: Suburb:suburbRothesay Bay City & post code: City: cityAucklandPost code: Additional Info to Help Us Process Your Gift: Transaction Fee Your Loved One's Name School Is the information you entered to set up the Direct Debit Instruction correct? Account holder: Sort Code: Account number: Amount to be debited: Collection frequency: Date of first gift: FormField