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Key Leader 2022 Credit Card Invoice Request
Please complete this form to request an invoice that can be paid by credit card.
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* Indicates required question
Name(s) of Registered Key Leader Participant(s)
*
Your answer
In what capacity will the above be attending?
*
Student Attendee ($150)
Student Facilitator - Requires permission ($100)
Adult Chaperone with Current KI Background Screen On-File ($100)
Adult Chaperone needing a KI Background Screen ($125)
Is any portion of the Key Leader registration being covered by a sponsor?
*
Yes
No
If "Yes", please let us know which Kiwanis Club is sponsoring you and how much they are contributing:
Your answer
Your Name
*
Your answer
Your Email
*
Your answer
Your Phone Number:
*
Your answer
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