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Donation FormPrint This Page
Print and Fax or Mail this form to: (905) 574-1688, mailing address included below.
Note: complete the form online first, then print it out & sign it.

My name is:
and I am making a donation of: $100.00 $50.00 $ today, to help Neighbour to Neighbour continue providing its services.
Please make my donation In Memory of: (optional)
My address is: Postal Code:
and my telephone number is:
My e-mail address is:
Enclosed is a	cheque/money order Credit Card donation
Please indicate:	VISA Mastercard
Card Number: Expiry /Date:month year
Signature:
To donate monthly through a Pre-Authorized payment Plan include a signed and dated cheque.
Bank Name		Branch# :
Account#:		Date:
Signature:	Print This Page
Charitable registration Number 11 905 3130 RR0001. An Official Tax Receipt will be issued.
Neighbour to Neighbour Centre - Hamilton Help is Just a Neighbour Away e-mail: admin@neighbourtoneighbourcentre.com Website updated November 26, 2007 - Web Design by: Virtualimage.ca Hamilton