Gifts to The Kilby Awards Foundation
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Please print this page and print cleary with a pen to make contributions, memorial gifts, or for honoring your friends and family on special occasions. A card will be sent to them in your name.

Once completed, mail this form and gift to:

The Kilby International Awards Foundation
P.O. Box 75-3131
Dallas, Texas  75275-3131 USA

Please accept my tax deductible contribution of $___________

___ Check Enclosed (Please make payable to The Kilby International Awards Foundation. )
___ VISA or ___ MasterCard
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| exp. ___/___
All contributions are tax-deductible as allowed by law.
The Kilby International Awards Foundation is a 501(c)(3) non-profit.

Your Name: ___________________________________________________________
Address: _____________________________________________________________
City: ____________________________ State __________ Zip __________
E-mail Address: _____________________________________________ (To be held in privacy, we may email you in the future.)
My gift is made:
In Memory of: _________________________________________________________
In Honor of: _________________________ for the occasion of ________
__________________________________________________________

Please Notify :

Name _____________________________________________

Address ___________________________________________
City_____________________________State____________Zip__________
|___| I've enclosed a picture, and statement of sentiment and support for the Kilby Awards Foundation. You have my permission to include these and/or my name in the Faces of Giving or Patrons sections of our website.
...We thank you for your generosity...