​DONATION CARD
 
Make cheque payable :  TWO MILES FOR MARY
Mail to:  Prince Albert & District Community Service Centre     
101-15th St West, Prince Albert SK           
S6V 3P7
Donor Information

• Name _________________________________________________________________

 

• Address  _______________________________________________________________

 

• Postal Code ________________      Phone ___________________      Date _________

Amount of Donation ___________________        Paid -  Yes  or   No                Cheque or  Cash
Do you require a Tax Receipt?   __________        Are you a Registered Charity?  ____________