OHIO DISTRICT KIWANIS FOUNDATION

Endowment Society

If you wish to apply for membership in the Ohio Kiwanis Endowment Society or
would like additional information regarding the Ohio Kiwanis Endowment Society,
please return this form to:
Ohio District Kiwanis Foundation
P. O. Box 1013
Wooster, Ohio 44691

(Please print)

Name:

Address:

City, State, Zip

Bus. Phone

Home Phone

Email

 Member of Kiwanis Club of

 Friend of Kiwanis
 Send me information about Ohio Kiwanis Endowment Society

I am making a gift in the form of:

 Cash Amount Enclosed:
 Bequest/Will
 Trust
 Annuity
 Life Insurance
 Other

Attach copy of information confirming commitment for future gifts.