http://www.smu.ca/giving/
886677 RRoobbiiee SSttrreeeett,, HHaalliiffaaxx NNSS BB33HH 33CC33 || CCaannaaddaa || TTeell:: 990022..442200..55449966
FFaaxx:: 990022..442200..55114400 || 11..990022..449922..4483 || TToollll FFrreeee 11..888888.768.4483
Receipt will be issued for all eligible donations. Charitable Business # BN 11918 9900 RR0001
DDOONNOORR IINNFFOORRMMAATTIIOONN
Ms Mr Mrs Dr Other
First Name ________________________Initial _________Last Name _____________________________________________
Address___________________________________________________________________________
City ________________________ Province / State ________________________Country_____________________________
Postal / Zip Code ________________________
To keep informed on University news and events, please indicate your preferred email address:
Preferred Email Address ___________________________________________
Home Business
Preferred Telephone No ___________________________________________
Home Business
Please indicate whether you are:
Alumni Student Faculty Staff Other
CCHHOOOOSSEE AA GGIIFFTT OOPPTTIIOONN
I wish to make a one time gift of $ ___________________
I wish to make a total pledge of $ ___________________
My installments will be made Monthly Bi-monthly Quarterly Annually
My first installment of $_________________will be made on ( month / year )___________________and will be payable
over _________years. ( Monthly donations will be processed on the 1st day of each month. All scheduled donations will
continue until we are notified to discontinue.)
MMEETTHHOODD OOFF PPAAYYMMEENNTT
I have enclosed a cheque payable to Saint Mary’s University.
I authorize Saint Mary’s University to make automatic withdrawals from my:
Credit Card ----- Visa Mastercard American Express ----
Card Number # : _________________________________________ Expiry Date : ___________________
_________________________________________
( Cardholder Signature )
WWHHEERREE TTOO GGIIVVEE
Faculty / School / Department of: _____________________
Student Financial Aid
Santamarian Fund ( area of greatest need )
The Homburg Centre
for Health & Wellness
Athletics Your preference ____________________________________
GGIIFFTT DDEETTAAIILLSS
My company will match my gift, and a completed matching gift form is enclosed.
Please
ddoo nnoott
publish my name in the annual donors’ report.
Please send information on planned giving ( bequests, life insurance ).
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