Request edit access
Historic Barn Fundraising Campaign

Let’s Raise the Roof! Help Save This Historic 1800’s Barn!

Donation/Pledges are tax deductible.

Donation/Pledge over $1000 will be acknowledged on a donor board.

*(Please make checks payable to Kalona Historical Society – 715 D Ave Kalona, IA 52247)*

*If paying with card - please scan QR code for payment through POS system*

Sign in to Google to save your progress. Learn more
Email *
CREDIT or DEBIT - SCAN HERE TO PAY
Donor Name *
Address *
Phone Number *
Please recognize me as: *
Remain Anonymous *
Annually or One Time *
Total Donation/Pledge $ *
Date of first payment *if annual* *
MM
/
DD
/
YYYY
How many payments are you wanting to donate?  *if annual* *
How much will each payment be?  *if annual* *
Number of years wanting to donate   *if annual* *
Additional Gift Opportunities:

In Memory of
In Honor of
Description of Opportunity
Date *
MM
/
DD
/
YYYY
Signature *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report