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Donor Information
* = required
Full Name *
Affiliation *
Year of Graduation     (4 digits, if applicable)
Address Line 1 *
Address Line 2  
City *
Province/State *
Postal/Zip Code *
Country  
Home Telephone *
Cell Phone  
Email *
I would like more information about Brentwood's strategic plan and funding priorities?  
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
Credit Card Information
I would like to contribute:
Total Donation Amount (Cdn$) *
Please debit my credit card *
Annually  
Quarterly  
Monthly         with payment/installments of   (Amount Cdn$)
One-time Gift  
   
Please keep my credit card details on file for any installment payments
Credit Card Type *
Credit Card Number *   Verification Code (3 digit number on the back of your card) *
Expiration Date *   *
Name on Card *
Directed Donations
* I would like this gift to be directed to:
$ New Athletic Centre
$ Bursary Now
$ Class of 2017 Fund
$ Old Brentonians Trust
$ Nick Prowse Bursary Fund
$ William T. Ross Bursary Fund
$ T. Gil Bunch Bursary Fund
$ Other (provide details in Special Instructions section below)
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  
Please fax your form to Lara McDonald at (250) 743-2911 or mail to her in care of the Development Office, Brentwood College School, 2735 Mount Baker Road, Mill Bay, BC V0R 2P1.

Special Instructions
Any special instructions we should know?


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

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