Kansas Bar Association

Secure Online Donation/Pledge Form

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Kansas Bar Foundation Donor Privacy Policy

Campaign/Fund Information
Campaign/Fund *	2020 Fellows Pledge or Select a Different Fund

Donation Information
Donation Amount *	Annual Pledge ($100 per year over 10 years): $100.00 Annual Pledge ($250 per year over 4 years): $250.00 Annual Pledge ($500 per year over 2 years): $500.00 OTHER: $
Payment Method *	Pledge Credit Card
Donation Type *	One-Time Donation Recurring Monthly Donation (until cancelled)
I am a NEW Fellow Pledge *
Donor Comments

Billing Information
[ Click here if billing address is the same as donor address ]
Name on Card *
Card Type *
Card Number *
Card CVV Num *	What is this?
Exp. Date *	(format: mm/yyyy)
Organization
Address *
Address Cont.
City/Town *
Country *
State	(Reset)
Postal Code*
Billing Phone *

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