Donations
I would like to make a donation to SNAC!
Name ______________________________________________
Address _____________________________________Apt______
City _______________________ Postal Code_____________
Telephone (h)_____________________ (w) ___________________
(c) ____________________
E-mail ______________________________________________
Do you have a SNAC membership? Y___ N___
May we e-mail newsletters and announcements to you? Y___ N___
I would like to make a donation of
___$1000 ___$500 ___$200 ___$100 ___$50 ___other
Payment Total payable $________
Please contact me to discuss my donation Y___ N___
Payment may be made by cash or cheque
Please make cheques payable to South Nepean Autism Centre
Mail to SNAC: 900 Greenbank Rd. Suite 530, Nepean, ON K2J 4P6
Thank you for your support!
