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Donor Contact Information

First and Last Name

Company

Address

City

State/Prov

Zip/Postal

Phone Number

Email Address

Is This a One-Time or a Monthly Sustaining Donation?

Sustaining Monthly Credit Card Donation (You will be directed to a secure site for credit card processing)
One-time Credit Card Donation (You will be directed to a secure site for credit card processing)
Charge on my bank account monthly

By checking this box I acknowledge that KET will debit my bank account each month until I instruct them to stop.

Please Choose Your Donation Amount

$ 60.00 Includes Visions and KET Passport
$ 75.00 Includes Visions, KET Passport and MemberCard
$ 500.00 Cornerstone Society
$ 1,200.00 Fund for Excellence (includes UK Football parking)
Other Amount

Please specify amount:

All Donors giving $60 or more may enroll up to 4 children in the KET Family Fun Club. Please enter those children below.

Child First and Last Name

Child Birthdate

Address LIne 1

Address Line 2

City

State/Prov

Zip/Postal

Child First and Last Name

Child Birthdate

Address LIne 1

Address Line 2

City

State/Prov

Zip/Postal

Child First and Last Name

Child Birthdate

Address LIne 1

Address Line 2

City

State/Prov

Zip/Postal

Child First and Last Name

Child Birthdate

Address LIne 1

Address Line 2

City

State/Prov

Zip/Postal

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