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!