Donation Form
Your Support of the YMCA of Peterborough is very much appreciated.
Print this form, and mail or drop your donation off at the YMCA
1) Fill in information, 2) Print this page, and 3) Drop off or Mail donation
to:
YMCA of Peterborough, 123 Aylmer Street South, Peterborough, ON K9J
3H8
Name:
Address:
City:
Province: Postal Code:
Telephone: Date:
Email:
Yes, I/We wish to support the YMCA of Peterborough
With a donation of
$2,500
$1,000
$500
$250
$100
$50
Other
My gift is in memory of
Method of Payment
Cheque VISA MasterCard Pre-authorized Payments
Card #
Expiry Date:
/
Signature:
Void cheque attached
Please make cheque payable to YMCA of Peterborough. Donations of $20.00 or more will receive a charitable tax receipt. CRA Charitable Registration #11909 1882 RR0001
I/We would like more information on:
Strong Kids Campaign
Bequests
Gifts of Securities
I/We wish to remain anonymous
I/We wish not to receive further mailings
To donate online, visit www.ymcastrongkids.ca
