The KEGS Foundation | Donation Form

Donation Form
Formulaire de Donation

YES, I WOULD LIKE TO HELP BUILD A BRIDGE TO THE FUTURE OF GEOPHYSICS BY DONATING TO THE KEGS FOUNDATION.

OUI, JE VOUDRAIS BIEN AVANCER LE FUTUR DE LA GÉOPHYSIQUE
PAR UNE DONATION À LA FONDATION KEGS.
Please find enclosed a cheque in the amount of/
Veuillez trouver ci-jointe un cheque pour le montant de:

[ ] $50

[ ] $100

[ ] $200

[ ] Other $

[ ] I would like to make an annual donation of $

[ ] Please contact me to discuss other donation, bequest, or endowment opportunities.

Name/Nom:

Title/Titre:

Company/Compagnie:

Address/Adresse:

City/Province: Postal Code:

Tel: Fax:

E-mail:

Please make the cheque payable to the KEGS Foundation and mail to:

The KEGS Foundation
101 Duncan Mill Road, Suite G-1
Toronto, Ontario
M3B 1Z3
CANADA

We welcome your comments/Veuillez communiquer vos commentaires

The KEGS Foundation, established in 1999, is a federally chartered Canadian charitable organization authorized to issue tax receipts to donors (CCRA Registration No. 870164340 RR0001).

Tax returns may be viewed on the CCRA's website http://www.cra-arc.gc.ca/charities/.