Christ the King Regional School

164 Hopkins Ave
Haddonfield, NJ 08033

Monte Carlo Donation

Pledger's Name:*

Please check if you are a friend or family member of graduate of CKRS.

Additional Comments

COMPANY INFORMATION

Company Name:
Job Title:
Address:
City:
State:
Zip:
Phone:

PAYMENT INFORMATION

I would still like to participate in Monte Carlo Night:
Amount of Donation:

		Full payment (if paying by check, please print this form before hitting submit)
		Please mail the form and check to the school, at the address listed above.

		Please charge my Credit Card (American Express)

USING THIS SECURE FORM

Name on Credit Card:
Credit Card Number:				Expiration Date: