Thank you very much for your support!!

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Kiwanis Club of Southwest Omaha Foundation Donation Form “Kiwanis is a global organization of volunteers who are dedicated to changing the world, one child and one community at a time.

The Kiwanis Club of Southwest Omaha Foundation is a 501.c3 organization and all donations to this foundation are fully tax deductible. All proceeds from this foundation will be used to support youth related projects of the Kiwanis Club of Southwest Omaha.

Name: Address: City: Zip Code:

State:

I would like to help your organization to change the life of a child with a tax deductible donation of:

 $100.00  $75.00  $50.00  $25.00  $10.00 or any amount shown here $ . Please make all checks payable to: Kiwanis Club of Southwest Omaha Foundation send to: Kiwanis Club of Southwest Omaha Foundation HSMC Orizon LLC ATTN: Rand Hansen 16924 Frances Street, Suite 200 Omaha, NE 68130

Thank you very much for your support!!