|
Enclosed is my donation of
1000$ q
500$ q
100$ q
50$ q
30$ q
Other:
$ ____________
A
receipt is desired
q This
gift is to be anonymous
q
Name
__________________________________
Address _____________________________________
Postal Code ____________ Tel
__________________
|
I would
like to make this donation in honour/memory of:
Name ___________________________________
Person to be notified (if any):
Name __________________________________
Address _____________________________________
Postal Code ____________ Tel __________________
I
would
like information on planned giving
q |
|
+ Please
return to:
Brome Missisquoi Youth Foundation, Box322,
224 South St., Cowansville,
QC, J2K 2X0 |