Donation Form - Ontario Gerontology Association

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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 $___________________________
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