Boys and Girls Clubs of Ontario - We live and believe that every kid has potential.

Pledge Form

Charitable Registration No. 10680 4693 RR001

$Donate Now Through CanadaHelps.org!\$

YES! I want to support the Boys and Girls Clubs of Ontario's Scholarship Program. Enclosed is my gift of:
        $25     $50      $75     Other:

        Mr.     Mrs.     Ms.
        Name:
        Address:
        City:
        Prov:           Postal Code:
        Phone No:      Email:

        Please contact me by: Phone     Mail     Email

I will be making my contribution by:



        Personal Cheque     Money Order   VISA



        If paying by credit card: (VISA ONLY)



        Card No:         Expiry Date: 

        Signature:  (if faxing or mailing)



	Comments:

A tax receipt will be issued for donations over $25

Please make cheques payable to Boys and Girls Clubs of Ontario