YES! I want to support students at the Western College of Veterinary Medicine through a gift!
To support the ‘Class of 2002 Bursary’ I’d like
to make:
A one-time gift of:
$ 1,000
$_______
__Other Amount
Or an ongoing pledge of $ ___________over _________years
Paid Monthly
$200 Paid annually for five years
To I’d like to give by:
Cheque or money order
Visa
MasterCard
American Express
Post-dated cheques (for monthly gifts only)
Pre-Authorized Debit (see below)
**Cheques made payable to the University of Saskatchewan
Donor Information:
Name: ______________________________
F
First Name
__
Middle initial
Last name
Joint Gift with: ______________________________
__
Address: ______________________________
__
______________________________
__
Email: ____________________________
Do you wish to keep your gift anonymous:
___ Phone #: ______________
__________________
Please DO NOT publish my name with regard to this gift
Please DO NOT publish my name with regard to all gifts
Mail to: Attention Jennifer Molloy, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, SK, S7N 5B4
Give online now at www.usask.ca/makeagift or phone 1-800-699-1907 (online: please be sure to enter in that your gift is designated to the Western
College of Veterinary Medicine and put ‘Class of 2002 Bursary’ in the comments. Over the phone please mention your gift is for the ‘Class of 2002 Bursary’
Credit Card Payment: __ __ __ __/ __ __ __ __/__ __ __ __/__ __ __ __/ Expiry Date_______/_______(month/year)
Name as shown on card: _______________________________ Signature: ______________________________ Date: ________________
Is this a corporate credit card? Yes ___ No ___ If yes, name of the company ________________________________
Pre-Authorized Debit Option: If you wish to donate through automatic withdrawals from your bank account, please complete and return a
Pre-Authorized Debit (PAD) Agreement found on our website at www.usask.ca/pad or contact our office at 1-800-699-1907 to have the agreement
mailed to you for completion.
Thank you for your support!
Canada Revenue Agency Charitable Organization Registration
NO. 11927 9313 RR0001