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Children of Katrina

  

katrina event

:
Membership Registration
Name
Address:
City:
State:
ZIP
e-mail:
Type of Membership:
Membership Length desired:
Pay VIA:
  1 Year
 3 Years Lifetime
Student
 $20.00
$50.00
$500.00
Parent
 $40.00
$100.00
$1,000.00
Educator/Medical/Allied Professional
 $50.00
$120.00
$1,200.00
       
Clinics and Organizations
   
5 - 20 Persons
 $500.00
$1,200.00
$10,000.00
21 - 50 Persons
 $1,000.00 $2,500.00
$20,000.00
Over 50 People
 $1,500.00
$4,000.00
$35,000.00
       
       
 

Please fill in your participation level and hit send. You will be re-directed to a page with a Pay Pal link to make your donation and complete your registration form.

Once your Pay Pal payment has been processed we will e-mail you your IRS donation certification.

If you have previously registered please and would like to donate now, we have provided Pay Pal to process your donation. Please click on the Donate link Below.