The University of Winnipeg Foundation The John Ting Memorial Collegiate Fund This fund, established by the family, colleagues, and friends of John Ting, will provide bursary assistance to new Canadians wishing to study at the University of Winnipeg Collegiate, and will fund an annual prize for the International Student with the highest mark in Senior 4 English and Senior 4 Science. Yes! I would like to contribute to the University of Winnipeg Foundation John Ting Memorial Collegiate Fund Donor Name _______________________________________________ Address ____________________________________________________ City/Town _________________ Prov. ______ Postal Code ___________ Telephone _________________ Email ___________________________ I am willing to have my name given to Ting family as a contributor to this fund. (Yes___No___) I am willing to have The University of Winnipeg Foundation recognize me in their Foundation Annual Report. (Yes___No___) ___ I wish to make a one-time gift of $________ OR ___ Monthly pledge payments of: $_____ per month for ______months beginning in _____________ Payment to be made by: ___ Cash ___ Cheque ___ Pre-authorized debit (Please include a voided cheque) (Please make cheques payable to The University of Winnipeg Foundation) ___ Visa /Mastercard/Amex ______/________/_______/________ Expiry ______/________ Signature _____________________________ Date______________________ Please complete and return this form to The University of Winnipeg Foundation 4W10, 515 Portage Avenue, Winnipeg, Manitoba R3B 2E9 or telephone (204) 786-9013 or 1-888-829-7053 The information you are providing to us is collected and maintained by The University of Winnipeg Foundation in accordance with the applicable privacy laws and for the purposes of communication, advancement and development efforts. Charitable Registration # 86517 1045 RR0001 Account Fund Campaign Source