SECURE FORM - MAKE A MEMORIAL GIFT OR A GIFT TO HONOR SOMEONE
KSPS will not sell or exchange your information with other organizations.
Canadians, please enter your province under "State."



Please enter YOUR contact information:
First and Last Name
Company Name
Address
City State/Province Zip/Postal
Phone Number
Email Address
What type of gift are you making?


Name of the person you are remembering:
To whom shall we send the card notifying them of your gift to KSPS?


Name:
Mailling Address:
City, State or Province, Zip or Postal Code:
Optional: Would you like us to include a short message from you?
What amount would you like to give?




Please specify amount:
How would you like to make your contribution to KSPS?
Visa, Mastercard and American Express are welcome. Canadians will be charged in Canadian funds.

Change Number of Months
Special Instructions
Do you have any other instructions for KSPS?
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