Old Dominion University

Payer Details

ODAF Member # *

This number is listed on your Gameplan.

First Name: *

Middle Initial:

Last Name: *

Are you an Alumnus?

If so, please enter class year.

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Phone:

Business Phone:

E-mail: *

A receipt will be e-mailed to this address.

Comments:

Charitable donations, ticket and entry fees, and sponsorships to the Foundation are not refundable except in very limited circumstances. Please contact the Foundations office at 757-683-3166 with any questions.