Please print:
Name of donor:
Address:
City:
State:
Zip:
If donor is a Sir Knight give Commandery Name:
No.
State:
| Please apply my donation as follows: (place an X in the appropriate box) | |||
| $30.00 | - Life Sponsor (For Sir Knights only) | ||
| $50.00 | - Associate Patron (Available to Foundations, Corporations, or Individuals) | ||
| $100.00 | - Patron (Available to Foundations, Corporations, or Individuals) | ||
| $100.00 | - Grand Commander's Club * | ||
| $1,000.00 | - Grand Master's Club * | ||
| $10,000.00 | - Golden Chalice (Available to Foundations, Corporations, or Individuals) ** | ||
| $25,000.00 | - Grand Master's Sword of Merit (Available to Foundations, Corporations, or Individuals) ** | ||
| - Memorial Contribution (Please fill out information below for memorial) | |||
* Grand Master's Club and Grand Commander's Club may not be purchased in the name of an organization, only individuals. Members of the Grand Commander's Club may add to their donation until they reach a total of $1000.00 to receive membership in the Grand Master's Club.
** If requested at the time of the initial gift, the donations may be applied to the Permanent Donor Fund.
This Gift is given to the Knights Templar Eye Foundation, Inc. (Amount: $ ) In remembrance of:
or in the honor of: |
| If you want information for preparing Wills or bequests, check this box or contact the administrative office. |
Please mail this form with your contribution to: The Knights Templar Eye Foundation, Inc., 5097 North Elston Avenue, Suite 100, Chicago, IL 60630-2460, Phone: (773)205-3838, Fax: (773)205-1689, e-mail: ktef@knightstemplar.org
KTEF Home |
Frequently Asked Questions |
Contact Us |
The Knights Templar Eye Foundation, Inc.
is Co-Sponsor of the National Eye Care
Project
|
||