HELP OUR STUDENTS PROGRAM - DONOR FORM
Donor name / Organization: ___________________________________________________________
Donor address: __________________________________________________________________
__________________________________________________________________
Contact person (if different from Donor): ______________________________________________
Telephone: ___________________ Email address: ________________________________
Amount of donation: $ ______________ Please make cheque payable to HOST PROGRAM
I wish to direct this donation as follows:
[ ] to be used for students from any school as most needed;
[ ] to be used for students of _______________________________________________________
Note: a minimum donation of $500 is required to make a directed donation. Once directed donations for a specific school reach $1,100, an additional award will be set up. If there remains less than $500 in the school’s directed reserve at the end of the school year, the funds will be used to pay for the current year’s awards for that school.
I wish to make this donation:
[ ] in memory of: ______________________________________________________________
[ ] in honour of: _______________________________________________________________
We can send a donation card to announce your donation.
Mail donation card to: ___________________________________________________________
___________________________________________________________
or send to this email address: ___________________________________________________
Please send the completed Donor Form, along with your donation cheque, to:
Help Our Students Program
59 Callaway Court
Ottawa, ON K1C 7S4
Official Registration # 81447 4730 RR0001 Canada Revenue Agency: www.cra.gc.ca/charities