Notice: Test mode is enabled. While in test mode no live donations are processed.
You can use this widget to pay your dues for this year only, or sign-up for automatic dues payments! Need a W-9?
Individual- $25 Licensed Professional- $50 Non-Profit- $50 Corporation- $100
First Name *
Last Name *
Company Name *
Email Address *
Write a check payable to DCCCA On the memo line of the check, indicate that the payment is for "Kansas Suicide Prevention Coalition" Mail your check to:
3312 Clinton Parkway Lawrence, KS 66047
If you have questions or need assistance, please contact our Program Coordinator, Kane Sheek, at ksheek@dccca.org
Donation Total: $100 One Time