DONATION

FORM


 

DEAR RSD FRIEND,

Thanks for your support! We appreciate it!

Please return this form along with your cheque made payable to PARC to us at:

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  
ADDRESS  
CITY/PROV:  
COUNTRY/ POSTAL CODE:  
PHONE/E-MAIL:  

DONATION AMOUNT:

 

___$1000 ___$500 ___$250 ___$100 ___$50 ___other $ ______
   
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:

PRIVACY NOTE: We do not sell, rent or trade names of our supporters.

Charitable Tax Number: 86563 9629 RR 0001


 

 


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