NAME

ADDRESS

STATE

CITY

ZIP CODE

TELEPHONE

EMAIL

I WOULD LIKE TO BE A:

REGULAR MEMBER

SUSTAINING MEMBER

$10/MONTHLY $15/MONTHLY $20/MONTHLY $25/MONTHLY

OTHER MONTHLY AMOUNT

Your donations are tax deductible in accordance with IRS rules for charitable contributions. The BKC is a 501(c)3 tax-exempt non-profit organization, and donations are normally fully deductible. Each check or charge on a credit or debit card is treated by the IRS as a separate donation. This form and your cancelled checks or credit card statements serve as proof of your donations. Donations of $250 or more will be acknowledged with a letter for your files by March 30 of the year following the date of the donation.