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Upper
Credit
Humane
Society
Make
Monthly Donations
Becoming a
Monthly Giver is easy! Just follow these steps:
1. Send us a
copy of one of your bank cheques with the word "Void" written on
the face.
OR
Authorize the Upper Credit Humane Society to bill your credit
card on a monthly basis in the space indicated.
2. Write
down the amount you wish to give monthly, to be withdrawn on the
15th of every month.
3. Sign this
form in the area indicated.
4. Return to
the Upper Credit Humane Society.
5383 Wellington Rd #24, RR # 2
Erin, Ontario N0B 1T0
o I wish to pledge $ ____________ to
the
Upper Credit Humane Society every month.
o My post dated cheques are enclosed.
o Bill my credit card.
o Visa
Card Number
____________________
Exp Date
_______________________
Signature
_______________________
Withdraw on
____________________ of each month
Name
____________________________________
Address
_____________________________________________________________
Phone Number
___________________ |