Stanstead On-Line Donations

Stanstead College
On-Line Donations
Event Registration

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To make a pledge, send an e-mail to alumni@stansteadcollege.com Make a Pledge

Personal Information

= required

Full Name *

Affiliation *

Grade 11 Year

(4 digits, if applicable)

Address Line 1 *

Address Line 2

City *

Province/State *

Postal/Zip Code *

Country

Daytime Telephone *

Email *

Recognition

Please indicate how you would like your name(s) to be recognized in our Donor Listings.

I wish for my name to remain anonymous

Directed Donations

* I would like this gift to be directed to:

$ Greatest Need
$ Scholarships & Bursaries (general)
$ Scholarships & Bursaries (Pitcher Prize)
$ Scholarships & Bursaries (Faculty & Staff Scholarship)
$ Habitat for Humanity Service Trip 2010
$ Music Program
$ Technology
$ Athletic Program
$ Other (Please Specify)

Credit Card Information

I would like to contribute/pay:

Total Donation Amount (Cdn$) *

Total Event Registration Amount

Please debit my credit card *

Annually
Quarterly
Monthly	with payment/installments of (Amount Cdn)
One-time Gift

Please keep my credit card details on file for any installment payments

Credit Card Type *

Credit Card Number *	Verification Code *
Expiration Date *	*
Name on Card *

Matching Gifts?

Please indicate whether your employer or your spouse's employer will match your gift.

	Yours \|	Spouse \|	Organization Name(s)
Yes, matching form will be sent later
No, matching not available

In Honour / Memory of

I would like this gift to be in Honour / Memory of:

Name(s)

In Honour In Memory

Please send an acknowledgement of my gift to:

Name

Address

Thank You! Your receipt will be mailed to the above address.