Seattle Breakfast 2008 Online Contribution Form

Contribute to KCSARC's 19th Annual Seattle "Kids Are Our Business" Breakfast online by providing the following information. You will receive a confirmation letter and receipt for your gift.

For further information about the Seattle Breakfast visit our Seattle Breakfast Homepage, or contact Sarah by phone at 425.282.0351 or by email.

This is a secure server. None of your information will be shared or sold to other organizations or third parties.

Contact Information: Please provide the following contact information:

First Name:

Last Name:

Organization:

Address:

City: State: Zip:

Work Phone:

Home Phone:

E-mail:

Credit Card Information: Please provide the information as it appears on your credit card:

Name:

Visa or MasterCard Number:

Expiration Date: Month: Year:

Amount to charge to your account: $

Comments or notes:

Honorary and Memorial Gifts:

This is an honorary gift

This is a memorial gift

Please send acknowledgement to:

Address:

City, State, Zip:

Comments or notes:

KCSARC is a 501c3 non-profit organization. Your contribution is tax-deductible to the full extent of the law. Thank you for your generosity.

Your online contribution is made on a Secure Server. If you have any questions or concerns, please contact the Development Office at 425-226-5062 or development@kcsarc.org

First Name:
Last Name:
Organization:
Address:
City:	State:	Zip:
Work Phone:
Home Phone:
E-mail:

Name:
Visa or MasterCard Number:
Expiration Date:	Month:	Year:
Amount to charge to your account:	$
Comments or notes:

Please send acknowledgement to:
Address:
City, State, Zip:
Comments or notes:

Seattle Breakfast 2008 Online Contribution Form

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