PLEDGE/DONATION FORM -- MAIL-IN CONTRIBUTIONS
 
 
 
Thank you for supporting Habitat for Humanity Canada! Your donation is greatly appreciated. 
  
Please print out this page and mail it in with your donation, to:
Habitat for Humanity Canada Foundation
40 Albert Street
Waterloo, ON   N2L 3S2
 
------------------------------------------------------------------------------------------------------------------------------------------------------

Yes, I would like to donate to HABITAT FOR HUMANITY CANADA FOUNDATION:
  
Name:  _________________________________________________________

Address:  _______________________________________________________

               _______________________________________________________

City:  ________________________  Prov/State:  _______________________

Postal/Zip:  __________________  Phone Number: _____________________
 
Email:  __________________________________________________________


Method of Payment:

     I want to make my gift by Cheque or Money Order (enclosed)
        (Payable to Habitat for Humanity Canada Foundation)
 
     I prefer to use my credit card:     Visa      MasterCard      American Express

        Credit Card Number:  ______________________________________________

        Name on card:  ___________________________________________________

        Expiry Date:  ______________ Signature:  _____________________________
 

My gift is in the amount of:  $ ___________     Please credit my gift to the following fund: 

   “Where The Need Is Greatest”      “Asia Tsunami Response Fund”       "Hurricane Katrina Response Fund"
 
If your donation is associated with a corporate or community appeal, please indicate which one:
 
_________________________________________________________________
 
Any comments you would like to add?  ______________________________________________
 
_________________________________________________________________________________
 
-------------------------------------------------------------------------------------------------------------------------------------------------------

Thank you very much for your support!  Income tax receipts will be issued for all donations over $20, or if requested.   Charitable Registration # 82657 2752 RR0001

Close Window