Charitable Donation Receipt Form

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Charitable Donation Receipt Form
Official tax receipts will be issued for donations of $20 or more.
PLEASE PRINT CLEARLY.
Name:___________________________________________________________
Company:________________________________________________________
Address:_________________________________________________________
Telelphone:_______________________________________________________
Email:___________________________________________________________
Amount of Donation: $_________________ Cash or Cheque (Please Circle)
Name:___________________________________________________________
Company:________________________________________________________
Address:_________________________________________________________
Telelphone:_______________________________________________________
Email:___________________________________________________________
Amount of Donation: $_________________ Cash or Cheque (Please Circle)
Name:___________________________________________________________
Company:________________________________________________________
Address:_________________________________________________________
Telelphone:_______________________________________________________
Email:___________________________________________________________
Amount of Donation: $_________________ Cash or Cheque (Please Circle)
Name:___________________________________________________________
Company:________________________________________________________
Address:_________________________________________________________
Telelphone:_______________________________________________________
Email:___________________________________________________________
Amount of Donation: $_________________ Cash or Cheque (Please Circle)
TOTAL AMOUNT COLLECTED: $____________________
Please forward this form directly to Second Harvest together with funds.
SECOND HARVEST RESPECTS YOUR PRIVACY. We protect your personal information and
adhere to all legislation concerning protection of privacy. We do not sell, rent or share our mailing
lists. The information you provided will be used to process payments, issue charitable tax
receipts, keep you informed about Second Harvest's activites, funding needs, special events and
volunteer opportunities; occasionally it will be used for data analysis purposes to help us with
strategic planning. If you wish, at any time, to be removed from our mailing list, please contact us
at 416.408.2594 or email@secondharvest.ca.
Second Harvest
18-1450 Lodestar Rd
Toronto ON M3J 3C1
Tel: 416-408-2594
Charitable Registration # 13386 5477 RR 0001

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