100 Club Form

                      

One Hundred Club

 

Please indicate if this is a one-time donation of $100 or for ______years.

 

Salutation __Mr.__Mrs.__Ms.__Dr.__

Name that you would like on the Tax Receipt ___________________________

Address ________________________________ City ______________________

Province__________________________ Postal Code______________________

E-mail ___________________________ Phone ___________________________

 

Payment Method: Please make Cheques payable to Rainbow Literacy & Learning Society

 

___ I/We wish our donation remain anonymous

___ I/We wish our donation made public

 

Please return this form with your gift or pledge to:

 

Rainbow Literacy & Learning Society

Box 180 Vulcan, AB T0L 2B0

Telephone 403 485-3107      Fax 403 485-1979

Email info@rainbowliteracy.com

Website www.rainbowliteracy.com

 

All cheques should be made payable to Rainbow Literacy Society.

A tax deductible receipt will be forwarded directly to your attention.

For more information about this

 opportunity or any other please contact

Rainbow Literacy Society.

Charitable Registration #889279386 RR0001