Family & Children's Agency, Inc.

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

To make your secure online credit card or debit card special contribution for the KOREAN PROGRAM 35th Anniversary Celebration & Benefit, please complete the following:

Description

Amount

Total

Hibiscus

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($1,000 and above)

Anemone

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($500 to $999)

Camellia

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($250 to $499)

Individual Tickets

All tickets include admission, activities, and lunch.
Family photo and DVD will be provided to each family.

Qty

Description

Amount

Total

Adults and Children (10 and older)

$40.00

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Children (ages 3 to 9)

$20.00

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UNABLE TO ATTEND?

Please make a tax-deductible contribution to support babies and birth mothers at the Social Welfare Society of Korea.

Donation:

Total: $0.00

Contribution in Honor of:

Payer Details

First Name: *

Last Name: *

E-mail: *

A receipt will be e-mailed to this address.

Company:

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Guest(s) Name(s): *

Comments or Questions:

Please indicate if gift is in honor of someone.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *