SSJ Sister Karen Klimczak Center for Nonviolence
Donation Form

Name ________________________________________________________

Address ______________________________________________________

City __________________________           State ____      Zip Code ______

Telephone Number _____________________________________________

Email Address _________________________________________________

I am making a tax-deductible gift of $______________

[  ] Please make your check payable to SSJ Sister Karen Klimczak Center for Nonviolence and mail it with this form to:

SSJ Sister Karen Klimczak Center for Nonviolence
80 Durham Avenue
Buffalo, NY 14215

www.sisterkarencenter.org