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| First Name |
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| Last Name |
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| Company |
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| Street / Apt |
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| Province |
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| Postal Code |
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| Phone |
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| Email |
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I would like to make a donation of $ |
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I would like to join the Friends of Red Roof Retreat and give a monthly amount of:
$ /month
(suggestions: $15 / $25 / $50)
(monthly payments may be cancelled at any
time by calling the office) |
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I would like to donate through my will
(please contact me) |
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I would like to bequest to Red Roof
(please contact me) |
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I would like to be a member
(if donating more than $25).
See membership page for information |
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I would like my donation, membership or monthly pledge to be paid by: |
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Credit card (please contact me) |
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Cheque or money order
(please wait for a pledge form to be mailed)
Please make cheques payable to Red Roof Retreat |
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Automatic bank withdrawal
(we will need a void cheque) |
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