Be a Riley Honors Partner today!
For entire page, copy and paste this link into your browser:
http://www.indkiw.org/Files/Districts/24/Documents/Riley%20Honors%20Brochure.pdf
Give your PERSONAL donation to help
the children at Riley Hospital!
If you would like to make a donation, please mark the
amount and fill in the information below.
(PLEASE PRINT LEGIBLY)
Name________________________________________
Club_________________________________________
Address_______________________________________
City/ST/Zip__________________________
Daytime Phone (______) ________________
Email_________________________________
Please make your check payable to “
Kiwanis Indiana
Foundation
” with Riley Honors in the memo. Mail this
form and your check to Indiana District Kiwanis, 8060
Knue Road, Ste. 127, Indianapolis, IN 46250. For
questions, contact the District Office at
indkiw@indkiw.org.
For your donation of:
[ ] $125.00
You will receive a Red Riley Pin
[ ] $250.00
You will receive a Silver Riley Pin
[ ] $500.00
You will receive a Gold Riley Pin &
Fleece Throw with Riley Logo
embroidered
[ ] $1000.00
You will receive a Full color Riley
Pin, Medallion with red ribbon,
and Polo Shirt
Shirt Size ______ (for $1000 donation only)
Riley Children’s Foundation
Indiana District of
Kiwanis International
Riley Hospital for Children
Kiwanis and Riley:
Partnering
for
Hoosier Kids
RILEY
HONORS
PROGRAM
