Fillable Donation Form - Scouts Canada printable pdf download

Donation Form - Scouts Canada

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Donation Form

Please process my one-time gift of:

$35

$50

$100

$500

I prefer to give: $ ___________

Please process my monthly gift:

I would like to support Scouts Canada throughout the year with a monthly gift of: $ _____________

One tax receipt will be sent at the end of each calendar year for the total donation amount.

You can cancel your monthly gifts at any time by contacting us at 1-888-855-3336

Please direct my donation to:

General Fund

I prefer to direct my donation to:

___________________________________________________

Address (if known):

___________________________________________________

This gift is in memory/in honour/in celebration of:

__________________________________________

(please circle one)

(name)

Name and address of the bereaved family / person being honoured or celebrated:

________________________________________________________________________________________

Your Information:

Mr.

Mrs.

Miss

Ms.

Other: _______________________

Name: _________________________________________________________________________________

Address: ____________________________________________________________________________ __

City: __________________

Province: _________________

Postal Code: _____________________

Telephone: ______________________________

Email: ______________________________________

My cheque / money order is enclosed, made payable to the Scouts Canada Foundation

Deduct my monthly donations from my bank account.

(My sample cheque marked “VOID” is enclosed)

I prefer to use my:

VISA

Amex

Card #: __________________________________ Expiry Date: ________________________________

Card Holder Name: _____________________________________________________________________

Card Holder Signature: __________________________________________________________________

Thank you for your support of Scouts Canada.

Please complete and fax this form to Scouts Canada

at (613) 224-3571 or mail this form with a cheque to:

1345 Baseline Road, Ottawa, ON K2C 0A7

For more information please call 1-888-855-3336

Charitable Registration Number: 107761694RR0028

Donation Form - Scouts Canada

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