The Knights Templar Eye Foundation, Inc.
Ways to Give Financial Support
Please print this form and mail it with your contribution to the address below.
Please print:
Name of donor:___________________________________
Address:________________________ Phone Number ________________
City:_____________________ State:_____________ Zip:__________
If donor is a Sir Knight
give Commandery Name: No.______State:_________________________
Please apply my donation as follows: (place an X in the appropriate box)
[__]$30.00 - Life Sponsor (For Sir Knights only)
[__]$50.00 - Associate Patron (Available to Foundations, Corporations, or Individuals)
[__]$100.00 - Patron (Available to Foundations, Corporations, or Individuals)
[__]$100.00 - Grand Commander's Club *
[__]$1,000.00 - Grand Master's Club *
[__]$10,000.00 - Golden Chalice
(Available to Foundations, Corporations, or Individuals) **
[__]$25,000.00 - Grand Master's Sword of Merit
(Available to Foundations, Corporations, or Individuals) **
- Memorial Contribution (Please fill out information below for memorial)
* Grand Master's Club and Grand Commander's Club may not be purchased in the name of an organization, only individuals. Members of the Grand Commander's Club may add to their donation until they reach a total of $1,000.00 to receive membership in the Grand Master's Club.
** If requested at the time of the initial gift, the donations may be applied to the Permanent Donor Fund.
This Gift is given to the Knights Templar Eye Foundation, Inc.(Amount:$________)
In remembrance of: or in the honor of:____________________________
Please notify: ____________________________
Address:______________________________
City: _______________State: _________________Zip:_______________
If a Commandery is to receive credit,
give Commandery Name: No.:_____State:________________________
The Knights Templar Eye Foundation, Inc. welcomes Gifts and Bequests as well as Gifts of Securities and Life Insurance. If you desire in planning your estate to make a gift to be used by The Knights Templar Eye Foundation, Inc. for its charitable program, regardless of the form which your gift may take, the proper words to be used on any gifts or checks is The Knights Templar Eye Foundation, Inc. If you want information for preparing Wills or bequests, check this box or contact the administrative office.Please mail this form with your contribution to:
The Knights Templar Eye Foundation, Inc.,
1000 East State Parkway Suite I, Schaumburg, IL 60173-4592,
Phone (847) 490-3838, Fax (847) 490-3777,e-mail: ktefofc@ix.netcom.com.