NJC On-Line Donations

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Donor Information (required for tax receipting purposes)

= required

Full Name *

Maiden Name

(if applicable)

Affiliation *

Graduating Year

(alumni only)

Address Line 1 *

Address Line 2

City *

Province/State *

Postal/Zip Code *

Country *

Home Telephone *

What prompted you to make this gift?

Recognition

For donations over $25, please indicate how you would like your name(s) to be listed in our donor recognition listing:

I wish for my name to remain anonymous

Donation and Payment Information

I would like to contribute:

Donation Amount ($Cdn.) *

minimum $20/mo. for monthly installment payments

Please debit my credit card *

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

Your credit card details will be kept securely on file only if needed for installment payments

Credit Card Type *

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

Directed Donations

* I would like this gift to be directed to:

Matching Gifts?

All donations to The Bill Boyer Scholarship will be matched automatically. Please indicate whether your gift will be matched by a Foundation or Company.

			Organization Name
Yes, matching form will be sent later
No, matching not available

Please obtain the appropriate Matching Gift forms from your matching gift partner and submit to NJC Fund once complete via fax: 416.368.0956, or mail: The Neuchatel Junior College Fund, 44 Victoria Street, Ste. 1310, Toronto, ON M5C 1Y2 Canada

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

Special Instructions

Note:

Thank You! Your receipt will be mailed to the address provided in the Donor Information section.

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