SCOK Donation Form

Thank you for your support of Senior Citizens of Kodiak, Inc. Donations Donations to the Senior Citizens of Kodiak, Inc. are accepted any time and in any amount. You can make a donation for assisting with a special event or luncheon, in honor of a person’s birthday, anniversary or just for good measure.

A memorial or commemorative gift to the Senior Citizens Endowment Fund, Inc. may be dedicated to begin a new service, to help with programs already underway, or it may be left undesignated. Contributions to the Endowment Fund over $1000 will be recognized on a wheel at the Kodiak Senior Center.

Name *

First

Last

Mailing Address *

City *

State *

Zipcode *

Please describe your donation *

Please provide instructions here. Example: Donations for flowers on Mother's Day Luncheon or To support the home delivered meal program. If just because, type N/A

How Should we Recognize your Contribution? *

Donations over $100 are recognized in our newsletter. Example: Donation Made by Jane Doe In Memory of John Doe or Donation made on behalf of Jane Doe. If you'd rather the donation be anonymous, let us know.

Total Amount of your Donation

Please indicate the total amount of your donation here.

donation Please Donation

Total

$0.00

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name