Make a donation to Harrison Kowiak Scholarship Fund FacebookTwitterLinkedin Make a donation to the Harrison Kowiak Scholarship Fund Please enable JavaScript in your browser to complete this form.If you have any questions before completing this donation form, please contact Todd Shelton, Executive Director. Company/Organizaton NameContact Person *FirstLastLayoutPhone *Email *Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDonation Please provide your donation amount: *Make your payment If you prefer to pay by check, submit form without providing credit card information and mail check in the amount based on your sponsorship level to: Hazing Prevention Network 11722 Allisonville Road, Ste 103, Box 355 Fishers IN 46038 Total$ 0.00Credit Card InformationCardName on CardSubmit