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KNPB Thank You Gifts Form
If you would prefer to:

Please complete the following form. Fields marked * are required.

Thank you gifts
Please expect 3 to 4 weeks for the arrival of your thank you gift. An additional $5 will be added to cover shipping and handling.
Your Membership
To sign up for monthly payments, please choose Yes above. Your membership automatically renews with these monthly payments each year until you notify us.
Please enter an amount here without a dollar sign like 5.00, 50.00, or 182.50.
Specify the amount per month
Please enter an amount here without a dollar sign like 5.00, 50.00, or 182.50.
Credit Card Information
Please no dashes or spaces
Format MM/YY
Bank Account Info
To confirm you have read our EFT Policy and agree to ongoing bank debits, please sign above in the format of /First Last/ (including 'slash' marks)
Would you like a membercard?
12-month benefit of the KNPB MemberCard for $80, Two cards for $125 or two Plus cards for $200
What is your favorite program?
Personal Details
Format ###-###-####
Comments or Questions
Anything you wish to tell us?
Please check the box above for security reasons
If you would like assistance or have any questions, please telephone KNPB at 775.784.1900.