Name * First Name Last Name Phone (###) ### #### Email * Are you a KCH Family? * Yes No Address If you answered, NO to the previous question, please provide us your mailing address, and we will send your card to you! Address 1 Address 2 City State/Province Zip/Postal Code Country How many cards would you like? 1 Card $20 2 Cards $40 3 Cards $60 Payment All funds collected go directly to our playground fund at The Community Foundation of Orange & Sullivan. Please use this link to make your payment in the form of a donation. https://cfosny.org/our-funds/project-funds/kids-club-house-playground-fund/ If you prefer to pay by check , they can be made out to the Kids Club House Playground Fund. Mail to: Community Foundation of Orange and Sullivan 30 Scott's Corners Drive, Suite 203 Montgomery, NY 12549 Please initial if payment has been made online. Thank you!
