Name: Your Name as it appears on your Delta SkyMiles Account

Email Address: Your email address (you will receive a confirmation to this email address)

Telephone Number: Format ###-###-#### (Example: 919-123-4567)

SkyMiles Number: Your Delta SkyMiles Number (Example: 2569541408)

Donation Amount: The number of Delta SkyMiles you would like to donate in 1,000 mile increments (minimum of 1,000).