Lamplighters are Altrusans who have contributed $500(US) or more to the International Foundation in a twelve month period.  Contributions can be made in one's own name or on behalf of someone else.  Lamplighters receive a special Lamplighter Pin/Pendant.  With each additional donation of $500(US), in succeeding years a diamond chip is added to the Lamplighter Pin/Pendant.

Lamplighters are recognized in Altrusa publication and in the Foundation's Annual report and at the Foundation Luncheon held at each Altrusa International Convention.

The name Club 21 was chosen to emphasize the Foundation’s commitment to being involved in a major international health concern into the 21st century. Club 21 is unique in that contributors are a part of a "club," with a membership and their own pin. Through an annual contribution of $21 (US) or more, you can become a part of the foundation’s effort to support children infected with HIV and AIDS.

HIV and AIDS are global epidemics affecting people in all countries and from all walks of life, but it is the innocent children who bear the brunt of this disease. Club 21 is the opportunity to extend your hand to these children and their families.  As a member of Club 21 you will receive the special gold and white Club 21 Pin, signifying your participation in a program that every Altrusan will be proud of.  Club 21 – a way for you to make a difference.