Corporate Donation

Company Name:	*
Contact First Name:	*
Contact Last Name:	*
Address Line 1:	*
Apt/Suite:
City:	*
Province / State:
Postal Code / Zip:	*
Country:
Phone:	*
Email: (for receipt)	*
Donate to:
Donation Amount:	$500 $1000 $1500 $2500 $5000
	Or Other Amount $: *
	Amount should be only in numbers
We incur a small processing fee which is deducted from the full amount of your donation. Would you consider paying this small fee on behalf of Kinsmen Lodge?
Include Fee:	Yes No
Total:	$
How did you hear about us? (choose one):
If 'Other', please specify:

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