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Donor Contact Information

First and Last Name

Address

City

State/Prov

Zip/Postal

Phone Number

Email Address

Gift Membership

This is a gift membership for: (First and Last Name)

Address

City

State/Prov

Zip/Postal

Phone Number

Email Address

Gift is in memory of: (First and Last Name)

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

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

By checking this box I acknowledge that KET will deduct monthly from my bank account until I instruct them to stop.

Please Choose Your Donation Amount

All gifts of $60 or more annually include Visions magazine, Family Fun Club and KET Passport online streaming

$ 60.00
$ 75.00 or more includes KET MemberCard
$ 96.00 or more includes up to 4 Family Fun Club kids' t-shirts
$ 240.00
$ 500.00 or more includes Cornerstone Society benefits
$ 1,200.00 or more includes Fund for Excellence benefits
Other Amount:

Would you like all of your donation to go towards KET programs or would you like to receive a thank you gift?

Please note that event tickets require a one-time donation by credit card.

Selected Premiums
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Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

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

Child First and Last Name

Child Birthdate

Child First and Last Name

Child Birthdate

Child First and Last Name

Child Birthdate

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