Kalassay Society Membership Form

Membership Level
In support of the program's offered by Bethlen Communities, I/we accept this invitation to become a member of the Kalassay Society for the year 2015 at the following membership level as long as circumstances allow:
Select if you would like to repeat this gift on a regular basis.  Your credit card will be charged the donation amount each month, year, etc. per your preference.
Member Information

Recognize a friend or loved one with a special Memorial or Honorary Membership

I/We wish to honor or memoralize someone

To whom should we send a notification letter that this gift was made?