Make a Donation

You can make a donation online. Just complete the form below and then click on the "Submit" button. You will then be taken to a secure page to enter your credit card information.

The Kiwanis Pediatric Trauma Center is a 501(c)3 non-profit organization. Your gift is tax deductible to the extent allowed by law.

First Name:		Last Name:
E-Mail Address:
Mailing Address:
City:		State:	Zip Code:
Telephone:
Donation:	$1,000     $500     $250     $100     $50     $25     Other: $ (numbers only)
Kiwanis Club/Division:
I would like my donation to go to:		Distracted DrivingKPTC FellowshipKPTC Trauma Kit

If you are making a donation for a KPTC Fellowship or a Trauma Kit, complete the following fields:
Recipient:		Presentation Date:
Given By (optional):

Note:
Type the numbers at right into the box: