Yes, I would like to make a contribution to UC

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Yes, I would like to make a contribution to UC
Yes! I would like to support
Indigenous Achievement!
Single Gift Amount
$25
$50
$100
$250
$500
 My Choice $
Corporate Matching Gift Program: If you are an employee, director or retiree of a matching gift company, you can double or in some cases triple the
size and impact of your gift to Indspire. Inquire with your employer to find out if your company will match your gift to Indspire.
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Please select a payment option
Cheque (Payable to Indspire)
VISA
MasterCard
American Express
Cardholders Name
Card number
Expiry date
Cardholder’s signature
Today’s date
/
You can also make a secure donation online at: www.indspire.ca
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Your contact information (required for tax receipt purposes)
Mr.
Mrs.
First Name
Last Name
Ms.
Miss
Other
Mailing Address
City
Province
Postal Code
Email
Home Phone
(
)
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Mobile Phone (
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Work Phone
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)
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
Please list my name in recognition materials as
Please list my name in recognition materials as ‘Anonymous’
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Other ways to help:
I have named Indspire as a beneficiary in my will.
Please send me information on leaving Indspire a gift in my will.
Please return completed form to:
Indspire
555 Richmond Street West, Suite 1002
Toronto, Ontario
M5V 3B1
Or you can submit by
Phone 416.987.0261
Fax
416.977.1764
Email [email protected]
Charitable registration number
BBN 118834696RR0001
Indspire respects your privacy. The information on this form is collected and used for the administration of the organization’s fundraising and communications activities. At all times it will be protected in accordance with
the Personal Information Protection and Electronic Documents Act. To help minimize cost, Indspire exchanges lists with other charitable organizations from time to time. You can opt out of this anytime by calling
855 INDSPIRE ext 261 or via email at [email protected] or via mail at: 1002 – 555 Richmond Street West, Toronto, Ontario M5V 3B1.