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May
2012 
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Make a gift

Donor Information
Full Name: *
Affiliation: *
Class Year:
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City: *
Province/State: *
Postal/Zip Code: *
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Daytime Telephone: *
Email: *
Recognition
Please indicate how you would like your name(s) to be recognized in our Donor Listings.
 
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Credit Card Information:
Total Donation Amount (CDN$): *
Please debit my credit card: * Annually
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with payment/installments of (Amount CDN$)
Please keep my credit card details on file for any installment payments
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Verification Code: *
Expiration Date: *   
Name on Card: *
Directed Donations:
* I would like this gift to be directed to:
$ New Junior School Buildings (K-3 & 4-7)
$ New Senior School Science & Tech. Centre
Matching Gifts?
Please indicate whether your employer or your spouse's employer will match your gift.
  Yours Spouse Organization Name
Yes, matching form will be sent later
No, matching not available      
  Please fax your form to Courtney Gillan at 250-746-4187 or mail in care of the Advancement Office, Queen Margaret’s School, 660 Brownsey Ave., Duncan, B.C. V9L 1C2
In Honour/Memory Of
Name(s) I would like this gift to be in Honour/Memory of:
  Honour Memory
  Please send an acknowledgement of my gift to:
Name:
Address:
Special Instructions
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© Queen Margaret’s School : All Rights Reserved
250 746-4185 • admissions@qms.bc.ca • www.qms.bc.ca
660 Brownsey Avenue, Duncan
British Columbia, Canada V9L 1C2