Best Card Online Payments

This is a voluntary contribution to the Kansas Dental Political Action Committee (KDPAC). This contribution is not deductible for federal income tax purposes and is not limited to the suggested amount.

Contribution amount *

$500.00 - Suggested Donation

$250.00 - Suggested Donation

$150.00 - Suggested Donation

$75.00 - Suggested Donation

$25.00 - Suggested Donation

Other

Cardholder first name *

Cardholder last name *

Billing Address *

Billing City *

Billing State/Province

Billing State *

Billing Zip *

Phone number *

Email *

Donor Name (if different)

Occupation *

ADA Number

Payment amount *

Please complete reCAPTCHA validation to continue.