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Donor Information
* = required
Given Name *     Initial
Last Name *
Maiden Name   (if applicable)
Affiliation *
Graduating Class Year     (4 digits, if applicable)
Address Line 1 *
Address Line 2  
City *
State/Province *
Zip/Postal Code *
Country *
Daytime Telephone *
Email  
Contact me about Planned Giving Options with KIS.  
Are you interested in Volunteering?  
  Are you registered on the online KIS Alumni Directory?
Recognition
Please indicate how you would like your name(s) to be recognized in our KIS Donor Thank You Listings.
 
I wish for my name to remain anonymous
Credit Card Information
I would like to contribute:
Preferred Currency *
Total Donation Amount *
Please debit my credit card *
Annually  
Quarterly  
Monthly         with payment/installments of   (Amount)
One-time Gift  
Perpetual Payments?   I wish to pay the installment amount on a recurring basis until further notice
   
Please keep my credit card details on file for any installment payments
Credit Card Type *
Credit Card Number *
Expiry Date *   *
Name on Card *
Designated Gifts
* I would like this gift to be designated to support:
Unrestricted funds
Other (Please Specify)
Matching Gifts?
Help Us to Double Your Donation!
  Yours | Spouse | Organization Name(s)
Yes, matching form will be sent later
No, matching not available  
Please mail the matching gift form provided by your or your spouse's company to:

Executive Director
Kodai Friends International (KFI)
PO Box 6121
Bloomington, IN 47407-6121
USA

or email kodaifriends@yahoo.com to ensure that KIS will benefit from the doubling of your donation with a corporate matching gift.

In Honor / Memory of
I would like this gift to be in Honor / Memory of:
Name(s)
      In Honor   In Memory
  Please send an acknowledgment to the address above
  or, please send an acknowledgment of my gift to:
Name
Address
Special Instructions
Any special instructions we should know?


Thank You! Your official receipt for US tax purposes will be mailed to the above address.
 
 

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