DONATION FORM Ontario Gerontology Association ontarienne de gérontologie An Associate of the Canadian Association on Gerontology www.ontariogerontology.ca terri@ontariogerontology.ca The OGA relies on membership fees and donations to sustain its work and conduct its program of initiatives. Hundreds of volunteers participate by contributing their time and expertise, or financially. All Donations of $25.00 and over receive a Tax Receipt. Contributions can be one-time, monthly or quarterly. They can be made by phone (416 535 6034) using your VISA or Mastercard Or by cheque mailed to the address noted above. Donation Form Name Address City Email Phone-Work ( Province ) Home ( Postal Code ) Please make cheques or money orders payable to: The Ontario Gerontology Association Please enclose a cheque or VISA /Mastercard information with your application Card #_____________________________________ Expiry date ___/___ Donation Amount $___________________________