Gifts & Sustaining Memberships Donation Form Name* First Last Mailing Address / Street City, State, Zip Country Email* Phone*Would you like to become a sustaining member with a recurring donation or make a one time gift?Please select...One TimeMonthlyQuarterlyNotesPlease use this field to designate if this donation is a gift, for a specific purpose, or in honor of someone you would like recognized on the KPI website and other places.Donation DetailsOne-Time Donation AmountPlease choose$100$250$1000$2500$5000OtherOther Donation Amount You can also set your own amount here.Total One-Time Donation $0.00 Donation DetailsYou will be charged immediately, then again every 30 days.Monthly Sustaining Membership Levels$20/mo. ($240/year)$35/mo. ($420/year)$50/mo. ($600/year)$100/mo. ($1200/year)$250/mo. ($3000/year)OtherOther Monthly Amount Total Monthly Donation $0.00 Donation DetailsYou will be charged immediately, then again once every three months.Quarterly Donation AmountPlease choose$100 ($400/yr)$250 ($1000/yr)$625 ($2500/yr)$1250 ($5000/yr)OtherOther Quarterly Donation Amount Total Quarterly Donation $0.00 Credit Card DetailsCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Δ