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Donor Information
* = required
Full Name *
Name to appear on tax receipt
(if different than full name)  
Affiliation *
Class of     (4 digits, if applicable)
Address Line 1 *
Address Line 2  
City *
Province/State *
Postal/Zip Code *
Country *
Daytime Telephone *
E-Mail *
Credit Card Information
Preferred Currency *
Total Donation Amount *
Please debit my credit card *
Monthly         with payment/installments of   (Amount)

One-time Gift
Please keep my credit card details on file for any installment payments
Credit Card Type *
Credit Card Number *
Expiration Date *   *
Name on Card *
Directed Donations
* I wish to support the following area(s):
$ The Headmaster's Fund (unrestricted)
$ The Shawnigan Fund (current use financial aid)
$ C.A.S.E. (Communications, Arts, Sciences & Entrepreneurship) Matching Gift Opportunity
$ Derek Hyde-Lay Scholarships
$ Alumni Family Fund Bursary
$ First Nations Bursary
$ Horace McClelland Chapel Ministry Fund
$ Program Enhancement (Academic, Fine Art or Athletic Programs) - please specify
$ Tour and Travel - please specify in special instructions
$ Boarding House - please specify in special instructions
$ Grad Class Pledge Payment

$ Other - please specify in special instructions on following page
(Please contact for more information on where you can direct your support)

Centennial Campaign Giving:
$ Capital Gift - specify in special instructions
$ Scholarship Endowment Gift
$ Ice Arena
$ Class Centennial Gift (Centennial Pathways)
Unless you request anonymity, your name will appear in the donors' list of the Shawnigan Annual Report
  I wish my gift to be anonymous
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 company's matching gift form to
Rebecca Page at (250)743-6234 or mail to:
Shawnigan Lake School, Advancement Office
1975 Renfrew Road
Shawnigan Lake, BC

Special Instructions
Any special instructions we should know? (Gift in honour/memory, program you would like to support etc.)

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

Copyright © 2017, Shawnigan Lake School and NDI