Yes! I would like to donate to The Katelyn Foundation!
Name (first and last): _________________________________________________________
Address: __________________________________________________________________
City, State, ZIP Code: ________________________________________________________
Phone number: ________________ E-mail address: _______________________________
I would like to support The Katelyn Foundation with a contribution in the amount checked below.
| ___ | $25 |
| ___ | $50 |
| ___ | $100 |
| ___ | $250 |
| ___ | $500 |
| ___ | $1000 |
| ___ | Other $_____________ |
Please print this page, complete the form and enclose it with your payment,
payable to “The Katelyn Foundation, Inc.”
Mail to:
The Katelyn Foundation, Inc.
c/o Robert J. Testo, III
50 Cherry Street, Suite F
Milford, CT 06460
Is your donation being made in memory or in honor of someone special?
If so, please complete the following:
___ In Memory of: ________________________________________________________
___ In Honor of: __________________________________________________________
Memory Album: If you would like us to add a picture of your loved one for who's memory you are making a donation, please send it to the address above or email it. We'd be happy to add it to our Memory Album.