Thank you for your donation!
Date _____________						Please Print Legibly.
					First Name
Please print this form, fill out, and mail to:					Last Name
	Friends of KTC, Dept A				Email
	4301 Morningside Road
	Edina MN USA  55416				Street
					Street 2
My donation is for:					City
O KTC's New Building					State		Country
O Scholarship & Practice Grants					Zip / Postal Code
O Building Maintenance Fund
O Use my donation in the best way for KTC.
					O $50	O $100	O $250	O $1000
					O Other:  $
Fill in below -
If you would like to dedicate your donation -					O  This is a one-time donation.
					O  I want to make a recurring monthly donation.
					O  Check enclosed.  Please make checks
					payable to "Friends".
If you have one -						O VISA	O MASTERCARD
Please include a picture, that does not have					credit
to be returned, with your dedication.					card #
					expires
						Month	Year
					home phone #:
Your donation is tax deductible.					(Please include when using credit card.)