Fillable 2015 Donation Form printable pdf download

Cops for Cancer

Donation Form

Start fundraising online today with your own personalized fundraising page at copsforcancerbc.ca

online donors will receive a tax receipt by email and donating online helps to reduce administration costs

(This form is not used for online receipting)

EVENT LocaTioN: _____________________________________________ EVENT NaME: _________________________________________

Please complete participant name and address on each donation sheet

First Name: ______________________________________________ Last Name: __________________________________________________________

Suite/apt #: __________________ Street: __________________________ city: _________________Province: _________ Postal code: __________

Email: _____________________________________________________________________ Phone #: ________________________________

credit to Rider Name: __________________________________________________________ My Goal is: $ ______________________________

DONATION INFORMATION — Donor’s name and address MUST be complete and legible to receive a tax receipt

DoNaTioN aMoUNT

First Name

Last Name

Mrs

Miss

Suite/apt #

address

city

Under $25 Receipt

Province

Postal code

Phone #

cash

cheque

Requested

First Name

Last Name

Mrs

Miss

Suite/apt #

address

city

Under $25 Receipt

Province

Postal code

Phone #

cash

cheque

Requested

First Name

Last Name

Mrs

Miss

Suite/apt #

address

city

Under $25 Receipt

Province

Postal code

Phone #

cash

cheque

Requested

Mrs

Miss

First Name

Last Name

Suite/apt #

address

city

Under $25 Receipt

Province

Postal code

Phone #

cash

cheque

Requested

Mrs

Miss

First Name

Last Name

Suite/apt #

address

city

Under $25 Receipt

Province

Postal code

Phone #

cash

cheque

Requested

Total lines 1 – 5

Tax Receipt information

Returning Donation Forms & Money

• Help us keep our mailing costs down and put more donations to work in the

• All funds raised must accompany the donation form(s)

aDDiTioNaL FUNDS

(anonymous, do not include Gaming)

fight against cancer. only donations of $25 will be automatically mailed a receipt

• Do not hand in money without donation form(s)

PLEaSE SPEciFY

• Donor’s name and address must be complete and legible to receive a tax receipt

• Donation form(s) must balance

• Please make cheques payable to Canadian Cancer Society

• Charitable #11882 9803 RR0001 (Canada); 98-6001242 (USA)

SHEET ToTaL

The canadian cancer Society (ccS) is committed to protecting your privacy and your personal information and complies with the Personal information and Protection act (PiPa). The information you provide will be used to issue a

tax receipt and additionally may be used to keep you informed of CCS activities including programs, services, special events, funding needs, opportunities to volunteer or to give and for ensuring accurate recognition of donors and

their families. If at any time you wish to be removed from any of these contacts, please let us know by calling Donor Services at 1-888-700-1131 or emailing donorservices@bc.cancer.ca.

FOR CANADIAN CANCER SOCIETY USE

BoX 1

BoX 2 – MaNDaToRY

cash amount Total _______________________________________________

Verified

Deposit “SLiP” #: 0 ________________________________________________________

CODE: __ __

__ __ __ 5460 108 __ __ __

cheque amount Total _____________________________________________

Verified

REGioN

UNiT