Contribution Form

Contributions to the Capital District Kiwanis Foundation are tax deductible and support the district's sponsored youth organizations as well as other district projects. Treat yourself or a friend to the honor of a gift of recognition from the Capital District Kiwanis Foundation. Note: The form cannot be filed on-line.
It should be printed out locally and then submitted per the instructions.

I wish to contribute to the Capital District Foundation as listed below:

1. ______ $100 Contribution - Life Member
Name:__________________________ Club:_______________________
If past or present club officer: Highest Office: _______________ Year:_____

2. ______$100 Contribution - Memorial
Name:__________________________ Club:_______________________
Year of Birth:_______ Year of Death:_______
Next of Kin (to receive plaque):___________________________________
Address:_____________________________________________________

3. ______$1000 Contribution - Tablet of Honor
Name:__________________________ Club:_______________________

4. ______$2 per year per Kiwanian
Name:__________________________ Club:_______________________

5. ______$(any amount) Contribution - Honoree
Name:__________________________ Org:________________________
(can be anyone, not only a Kiwanian)

6. ______$25 Contribution - Sustaining Member
Name:__________________________ Club:_______________________
If past or present club officer: Highest Office: _______________ Year:_____

7. ______$(any amount) Contribution - Young Children Priority One

8. ______$100 Contribution - Youth Outreach Program
Designate Youth Program (if desired):______________________________

9. ______ $1,000 Contribution - Founder's Society

Name: ______________________________ Club: ________________________
Address: __________________________________________________________