Donation to the Village of Kenilworth
Name of Donor
In the space provided enter donor's first and last name.
Donation is For? (Program or Services)
In the space provided enter where you would like your donation to be applied. Example: Trees
Cell Or Day Time Phone Number
In the space provided enter your cell or daytime phone number if you would like the Village to contact you regarding your donation.
In the space provided enter amount you are donating to the Village.
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