NOTICE: Effective on November 4, 2020, the use of credit card and debit card payments will be processed by the NKBA and subject to a 4% convenience fee on the amount of the transaction. This convenience fee is not greater than the cost associated through the credit card company. Please note this change is for payment by credit/debit card only. You still have the option to Donate by check or cash without any additional fee. Donation Amount $ Billing Information First Name:* Last Name:* Billing Address:* Billing Address 2: City:* State:* Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Zip Code:* Email: Optional Message to NKY Bar:(Please identify which charitable purpose you wish to contribute to) Credit Card Information Type:* Visa Mastercard American Express Number (no spaces or dashes please):* Expiration Date:* MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 23 24 25 26 27 28 29 30 31 32 33 Security Code:* Donation Summary: Donation Amount: 4% Convenience Fee: Total Amount to be Charged: