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Texas Kappa Delta Shamrock Open

Enter t-shirt sizes in the Occupation field.

DISCLAIMER: A 4.5% processing fee is applied to every transaction by the Piryx Web site. We ask that you send us a check so that your entire donation makes it to the charities!

Checks should be made payable to Kappa Delta and should be sent to Kappa Delta Sorority, ATTN: Shamrock, 2315 Nueces St, Austin, TX 78705. Please include a printed version of this form with your information.

Contribution Amount

$5 - Student Bunko (early-afternoon)
$20 - Adult Bunko (early-afternoon)
$5 - Student Bunko (late-afternoon)
$20 - Adult Bunko (late-afternoon)
$15 - Lunch
$20 - Dinner
$125 - Registration for 1 golfer
$500 - Registration for 4-player team
$

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Employment Information

EmployerRequired
OccupationRequired

Payment Information

Debit/Credit Card

Card Number
CSC ?
Expiration

Routing Number
Account Number

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

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