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THE RIDE TO CONQUER
CRPS 2008
DONATION FORM
Please return this form along with your donation
to:
P. A. R. C.
PO Box
21026, St.
Catharines, Ontario
Canada L2M
7X2
Web site: www.rsdcanada.org E-mail@rsdinfo@becon.org
PLEASE BLOCK PRINT CLEARLY FOR YOUR TAX RECEIPT:
| NAME |
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| ADDRESS |
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| CITY/PROV: |
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| POSTAL CODE: |
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| PHONE/E-MAIL: |
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DONATION AMOUNT:
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___$1000 ___$500 ___$250 ___$100 ___$50 ___other $
______ |
| Circle YES OR NO |
I would like my name and donation amount to appear on the
web site. |
| Circle YES OR NO |
I would like my name ONLY as a supporter, to appear on the
web site. |
| Circle YES OR NO |
My cheque or money order is made payable to PARC |
| THANK YOU! |
We appreciate your donation.
Every dollar counts! |
PLEASE NOTE:
RIDE PROGRESS ONLINE: To follow the RIDE TO CONQUER CRPS beginning
July 19, please go to www.rsdcanada.org. and follow the RIDE BLOG..
PRIVACY NOTE: We do not sell, rent or trade names of our supporters.
Charitable Tax Number: 86563 9629 RR 0001
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