New York District Kiwanis

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Brittany Award

You can make a donation online. Just complete the form below and then click on the "Submit" button. You will then be taken to a secure page to enter your credit card information.

The Kiwanis Pediatric Lyme Disease Foundation is a 501(c)3 non-profit organization. Your gift is tax deductible to the extent allowed by law.

Person Making Donation:
First Name:		Last Name:
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Mailing Address:
City:		State:	Zip Code:
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Donation:	$1,000 $500 $250 $100 $50 $25 Other: $
Kiwanis Division:
Brittany Award
If you are purchasing a Brittany Award, select the award from the drop-down. Note that the recipient must have a Brittany before receiving an Emerald and so on. The initial Brittany Award requires a donation of $500. Each emerald or diamond level requires an additional $250. Complete the club meeting information so a presentation can be made.
Brittany Level:
Brittany Recipient:
Club Meeting Day, Location:
Club Meeting Time:

Note:
Type the numbers at right into the box: