Instructions: Print this page; fill-in the information; then, mail it to the address at the bottom.
Intention to Give
I/We want to join with the gifts and commitments of others in support of the day-to-day operations of
Charlottetown Chito Ryu Karate and in securing its future.
Name(s) | ||
Address | ||
Home Phone | ||
Work Phone | ||
Therefore, in addition to other critically important yearly gifts to the
Charlottetown
Chito Ryu Karate operating fund,
it is my/our intention to give a gift of $_____________ and this commitment will be fulfilled as follows:
❑ Enclosed is a check for $_____________ made payable to Charlottetown Chito Ryu Karate
❑ The balance of my/our gift will be fulfilled with post-dated checks, as follows:
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Gift Amount(s) |
In the Month of |
Year |
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$ |
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$ |
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$ |
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$ |
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Other: | ||||
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❑ I/We wish to make a
gift of non-cash (appreciated securities, closely held stock, personal property)
or
deferred gift (bequest, charitable annuity or trust, pooled
life income plans). Please describe briefly:
❑ Other gift arrangement; please describe briefly:
Name(s) as you wish them to appear in print for recognition purposes:
❑ I/We would like our gift to remain anonymous.
Signature | Date | ||
Signature | Date |
If you have questions regarding your gift, please call Sensei Ken Roper (902) 892-3640.
Thank You for Your Generosity!
Email: KRoper@eastlink.ca
Internet: www.PEIChitoRyu.ca
Instructions: Print this page; fill-in the information; then, mail the form with your check(s) to:
Charlottetown Chito Ryu Karate |