Southern Oregon Camp Kiwanis

P.O. Box 735

Keno, OR.  97627-0735

Please accept a donation for Southern Oregon Camp Kiwanis, and send a receipt to:

Name________________________________________________________________

Address______________________________________________________________

City, State, Zip________________________________________________________

_____$1,000  CAMP S.O.C.K. BENEFACTOR

_____ $600 (to fund an individual camper)

_____ $100

_____ $50

_____ $25

_____ $10

I would like to make a donation in honor of / in memory of _____________________________

I am a Kiwanis club member from _________________________________________________(name of club)

On Behalf of the Board of Directors of Southern Oregon Camp Kiwanis, we thank you for your donation.

     Nancy Mueller, President of the Board

     Wendy Millard, Camp Director