Friend E

E Friend (Donor) Application
Membership*
- I am a new Friend (Donor) ready to join!
- I am a current Friend (Donor) ready to renew my membership!
Name*
First Last
Korean Name
Company
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
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Name
Korean Name
Date of Birth
Gender
- Male
- Female
Add a Child 1 (under 18)
Name
Korean Name
Date of Birth
Gender
- Male
- Female
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Name
Korean Name
Date of Birth
Gender
- Male
- Female
Add a Child 3 (under 18)
Name
Korean Name
Date of Birth
Gender
- Male
- Female
Note:
Payment Information
E Friend (Donor)
- $1,000
- $1,001 - $4,999
$1,001 - 4,999*
Total
$0.00
Credit Card*
Card Details
Cardholder Name
Comments
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Our Mission

The KCC’s Mission is to promote healthy and independent living for all ages and to integrate the people with Korean Heritage into the greater community through culture & education, outreach, health & social services, and civic advocacy.

KCC Gallery

Curator: Christine Seo
E-mail: gallery@kccus.org
T. 201-541-1200 ext.111

Contact Info

Korean Community Center
100 Grove Street
Tenafly, NJ 07670

NJ Transit Bus 166
Rockland Coach Bus 14E

Phone : 201-541-1200
Fax : 201-541-4060
www.kccus.org

Make Korean-Americans Proud

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Friend E

E Friend (Donor) Application

Add a Spouse

Add a Child 1 (under 18)

Add a Child 2 (under 18)

Add a Child 3 (under 18)

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