Delta Phi Epsilon Educational Foundation

Advanced Redirect

The patron will be redirect to the following pages based on the authorized result.

Important Note:

The redirect pages have to be secure otherwise no redirect will occur.
If your server is offline for any reason the redirect will fail, resulting in error. If the patron experiences a page not found based on your server’s availability it may result to double charges

Use complete URL including https://

Success landing page * :

Declined landing page * :

The following URL parameters are included in the response and may be used on the landing page via custom programming:

Example Success URL:
https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker

on = OrderNumber
result = success
response = authorized
t = totalamount
refid = referenceid
trk = tracker

Example Decline URL:
https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount

on = OrderNumber
result = failure
response = dcl
t = totalamount

Your donation:

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Make this donation anonymously

Display my Name as:

Your public posted comment:

Full Name

Additional Information

Fund

Which fund do you wish to support?

Tribute Gift

Would you like to make this gift in honor or in memory of someone?

YesNo

Affiliation

Affiliation Type: *

Tribute Type *

In honor ofIn memory of

Honoree/Memorial Full Name *

Recipient Full Name (If different from Honor/Memorial)

Recipient Address *

Your Name(s) *

Custom message:

ALUMNUS INFO

Alumnae Association and/or Chapter Name: *

STUDENT INFO

Chapter Name: *

PARENT INFO

Child's Name: *

Child's Chapter Name: *

FRIEND INFO

Association to DPHIE *

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

Send Postal Mail acknowledgement:

Payment Details

Credit Card

Routing Number: *

Account Number: *

Check Number: *

Account Type: *

Check Type: *

Name on Card: *

Credit Card Number: *

Card Verification (CVV): *

Expiration Date: *

CardExpirationYear

Invoice Number:

Purchase Order Number:

Name: *

Reference Number:

Matching Gift

Find out if your employer offers a matching gift program.

Advanced Redirect

Your donation:

Honor/Memorial Gifts

You will be charged:

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