I would like to donate to your cause.
Please circle the amount you wish to donate:
$10.00 $20.00 $50.00 $100.00 $1000.00 Other: $________________
In order to receive your tax receipt, please print your name and
NOTE: A tax receipt will not be issued for donations under $10.00
City: _____________________ Province: ___________ Postal Code: _________
Please send this completed form and a check or money order for the above amount, payable to:
For more information, contact Lise Sénécal at (705) 675-6422.