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Donation Form

 

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JJ COLLETT DONATION FORM

 

Name: ___________________________________________

 

Address: _________________________________________

 

City/Town: ______________________  Postal Code: ____________________

 

Telephone: __________________  Email:  ________________________

 

Donation Amount:  $ _____________

 

Please make cheques payable to:       JJ Collett Foundation

 

Mailing Address:  RR 4, Site 5, Box 40, Lacombe Ab, T4L 2N4 

All donations over $20 are tax deductible (Charity #88942-4461 ) A tax receipt will be emailed or mailed to you.

 

Thank you for your support!