KLM International - Online Donation by Checking Account


Thank you for your support of KLM International! Please fill out the form below to give from your checking account.


	Donation:
	Designation

	Personal Information
	First Name:
	Last Name:
	Billing Address:
	City:
	State & Zip Code:
	Home Phone:
	Cell Phone:
	Email Address:

	Checking Account Information
	Routing Number:
	Account Number:

YES! I authorize KLM International to deduct my donation from my checking account. I confirm that the contact and account information provided is accurate.