Payments Date MM slash DD slash YYYY Name* First Last Email*This is where your receipt will be sent. Phone*Payment Purpose*Kevin Fern Scholarship FundGeneral Scholarship Fund DonationMembership Dues RenewalAuction ItemOtherPayment Amount*Enter the dollar amount you would like to pay here. Description of Payment Purpose Total $0.00 Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged.