Canadian HERO's Cheque Donation Form

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Canadian HERO ---- CHEQUE DONATION FORM

Name:

Address:

City:

Province / State:

Postal Code / Zip Code:

Home Telephone Number:

enclosed is my gift of:

or, I prefer to give the following amount:

PLEASE MAKE ALL CHEQUES PAYABLE TO: " CANADIAN H.E.R.O. "

Signature : ___________________________________

Canadian HERO accepts business cheques, personal cheques and bank drafts at our office and our local events. If you would like to make a donation by cheque to Canadian HERO print and complete the form found above. Please make sure you send your cheque with the completed form. Canadian HERO will promptly issue an Official Tax Receipt to all donations of $25 or more. Thank You.