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Purpose	Donation Amount (X.XX)
K of C Christian Refugee Relief	$
		$ USD

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Donations to the K of C Christian Refugee Relief are restricted.

In the United States donations are tax deductible to the extent allowed by law and should be payable to: Knights of Columbus Charities, Inc., a 501(c)(3) charitable organization, at: One Columbus Plaza, New Haven, CT 06510, (800) 694-5713 or (203) 752-4000.

In Canada donations are tax deductable to the extent allowed by law and should be payable to: Knights of Columbus Canada Charities, Inc., a registered charity with the CRA, at: 139 Front St. Belleville Ontario K8N 2Y6, (800) 694-5713.

Return Policy: All donations made in error will be promptly refunded from Knights of Columbus Canada Charities, Inc. or Knights of Columbus Charities, Inc. by calling (800) 694-5713, or e-mailing: info@kofccharities.org within 60 days of the event.

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Visa/MasterCard/Discover The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.
American Express The verification number is a 4-digit number printed on the front of your card. It appears after and to the right of your card number.

State Specific Disclosure Requirements
Knights of Columbus Charities, Inc. is a registered charity. All gifts are tax deductible to the extent allowed by law. A copy of the summary of the latest financial statement, or annual report, and registration filed by Knights of Columbus Charities, Inc. may be obtained by contacting us at Knights of Columbus Charities, Inc., One Columbus Plaza, New Haven CT 06510 or 203-752-4000. If you are a resident of one of these states, you may obtain financial information directly from the state agency: FLORIDA - A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free, 1-800-435-7352 (800-help-fla) within the state. Registration does not imply endorsement, approval, or recommendation by the state. Florida registration #ch17916. MARYLAND - Obtain financial information for the cost of copies and postage, Office of the Secretary of State, State House, Annapolis, MD 21401 MISSISSIPPI - The official registration and financial information of Knights of Columbus Charities, Inc. may be obtained from the Mississippi Secretary of States office by calling 1-888-236-6167. Registration by the Secretary of State does not imply endorsement. NEW JERSEY - Information filed with the Attorney General concerning this charitable solicitation and the percentage of contributions received by the charity during the last reporting period that were dedicated to the charitable purpose may be obtained from the Attorney General of the state of New Jersey by calling (973) 504-6215 and is available on the internet at www.njconsumeraffairs.gov/ocp.htm#charity. Registration with the Attorney General does not imply endorsement. NEW YORK - Office of the Attorney General, Department of Law, Charities Bureau, 120 Broadway, New York, NY 10271. NORTH CAROLINA - Financial information about this organization and a copy of its license are available from the State Solicitation Licensing branch at 1-888-830-4989. The license is not an endorsement by the state. PENNSYLVANIA - The official registration and financial information of Knights of Columbus Charities, Inc. may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement. VIRGINIA - Virginia State Division of Consumer Affairs, Department of Agricultural and Consumer Services, PO Box 1163, Richmond, VA 23218. WASHINGTON - Charities Division, Office of the Secretary of State, State of Washington, Olympia, WA 98504-0422, 1-800-332-4483. WEST VIRGINIA - Residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV 25305. Registration with any of these state agencies does not imply endorsement, approval or recommendation by any state.

State Specific Disclosure Requirements

Knights of Columbus Charities, Inc. is a registered charity. All gifts are tax deductible to the extent allowed by law.

A copy of the summary of the latest financial statement, or annual report, and registration filed by Knights of Columbus Charities, Inc. may be obtained by contacting us at Knights of Columbus Charities, Inc., One Columbus Plaza, New Haven CT 06510 or 203-752-4000. If you are a resident of one of these states, you may obtain financial information directly from the state agency:

FLORIDA - A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free, 1-800-435-7352 (800-help-fla) within the state. Registration does not imply endorsement, approval, or recommendation by the state. Florida registration #ch17916.

MARYLAND - Obtain financial information for the cost of copies and postage, Office of the Secretary of State, State House, Annapolis, MD 21401

MISSISSIPPI - The official registration and financial information of Knights of Columbus Charities, Inc. may be obtained from the Mississippi Secretary of States office by calling 1-888-236-6167. Registration by the Secretary of State does not imply endorsement.

NEW JERSEY - Information filed with the Attorney General concerning this charitable solicitation and the percentage of contributions received by the charity during the last reporting period that were dedicated to the charitable purpose may be obtained from the Attorney General of the state of New Jersey by calling (973) 504-6215 and is available on the internet at www.njconsumeraffairs.gov/ocp.htm#charity. Registration with the Attorney General does not imply endorsement.

NEW YORK - Office of the Attorney General, Department of Law, Charities Bureau, 120 Broadway, New York, NY 10271.

NORTH CAROLINA - Financial information about this organization and a copy of its license are available from the State Solicitation Licensing branch at 1-888-830-4989. The license is not an endorsement by the state.

PENNSYLVANIA - The official registration and financial information of Knights of Columbus Charities, Inc. may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

VIRGINIA - Virginia State Division of Consumer Affairs, Department of Agricultural and Consumer Services, PO Box 1163, Richmond, VA 23218.

WASHINGTON - Charities Division, Office of the Secretary of State, State of Washington, Olympia, WA 98504-0422, 1-800-332-4483.

WEST VIRGINIA - Residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV 25305. Registration with any of these state agencies does not imply endorsement, approval or recommendation by any state.

US	Canada
Make checks payable to: Knights of Columbus Charities, Inc. Kindly write K of C Christian Refugee Relief on the memo line of your check. Send to: Knights of Columbus Charities One Columbus Plaza PO Box 1966 New Haven, CT 06509-1966	Make checks payable to: Knights of Columbus Canada Charities, Inc. Kindly write K of C Christian Refugee Relief on the memo line of your check. Send to: Knights of Columbus Canada Charities Gift Processing Center PO Box 7252 Station A Toronto, ON M5W 1X9

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State Specific Disclosure Requirements