Donation Form

Donations in ANY amount are welcome and greatly appreciated. If you would like to make a contribution by check or money order to The Kent Center, please complete the form below, then print this page and mail it to the address listed.

Please make your check payable to The Kent Center.

Martha Koziara, Director of Development
The Kent Center – Summit South, Suite 301S
300 Centerville Road
Warwick, RI 02886-0208

Your Name


City, State, Zip

I have enclosed a check in the amount of

 I wish my gift to be given:

 in tribute to:
 in honor of:
 as a birthday gift to:
 as an anniversary gift to:

 I wish my gift to be anonymous.

 My gift will be matched by my employer.

 I have enclosed my company’s Matching Gift form.

 Please contact my company for Matching Gift information.
My company’s phone number is

 Please send me information about including The Kent Center
in my will or estate plan.
 I have already included The Kent Center in my will or estate plan.

Thank you for your generous support!