Donation Form - Brantford Symphony Orchestra - Brantford Symphony Orchestra

DONATION FORM – Brantford Symphony Orchestra

Name*
First Last
Address*
Street Address City Province Postal Code
Email*
Telephone*
Amount:*
Payment Type*
One Time Donation
Monthly Donation (sustainer)
Check here for one receipt per year:
- Yes
Credit Card Number
Expiry
Authorization
I hereby authorise the Brantford Symphony Orchestra to charge the credit card submitted for the amount shown, as either a One Time donation or Monthly Sustainer as indicated above. I agree to pay the card issuer in accordance with the cardholder agreement.
- Yes
Signature
Please include signature only if printing this form and paying by credit card.

Donations of $20 or more will receive Income Tax Receipts

CHEQUES PAYABLE TO: BRANTFORD SYMPHONY ORCHESTRA

You may print an submit your form by mail or in person at the address indicated below:
MAIL TO: P.O. Box 24012, 185 King George Rd. Brantford, ON N3R 7X3 or
DROP OFF AT BSO OFFICE: 99 Chatham St. Brantford

Terms: Monthly donations will be ongoing until the donor informs us to stop. Donors using Mastercard will receive a monthly transaction receipt as required by Mastercard, and new monthly donors using Mastercard will receive email confirmation. All donors will receive an annual charitable receipt.

DONATION FORM – Brantford Symphony Orchestra

Donations of $20 or more will receive Income Tax Receipts

CHEQUES PAYABLE TO: BRANTFORD SYMPHONY ORCHESTRA

You may print an submit your form by mail or in person at the address indicated below: MAIL TO: P.O. Box 24012, 185 King George Rd. Brantford, ON N3R 7X3 or DROP OFF AT BSO OFFICE: 99 Chatham St. Brantford

You may print an submit your form by mail or in person at the address indicated below:
MAIL TO: P.O. Box 24012, 185 King George Rd. Brantford, ON N3R 7X3 or
DROP OFF AT BSO OFFICE: 99 Chatham St. Brantford