HKP Donation Form

I wish to donate:

A financial contribution of $______.

__ my check is enclosed.

__  please bill me.

__  please bill me in three annual installments

(designate month ____________) (If this option is selected, your pledge will be divided by three and you will be billed on the first day of the designated month.)

Equipment

Please list your contact phone and e-mail, and you will be contacted by a Kiwanis Park official with further information.

Phone:_________________ E-mail: ______________

__  My Time (Volunteers are needed in all areas) Please list your contact phone and e-mail, and you will be contacted by a Kiwanis Park official with further information.

Phone:__________________ E-mail:__________________

Please direct questions to Sal Ferrotti at (910) 270-2145 or email them to kiwanisclubofhampsteadnc@qmail.com

Thank You For Your Generous Donation!

Name: __________________________________

Address: ________________________________

Phone: _____________________