CEMF Web Site Donation Form
Personal Information
Your Name:
Mailing Address
(so that we can mail you a receipt for income tax use)
Street:
City:
Province/State:
Country:
Postal Code or Zip:
Your Email Address (Optional):
Donation Detail
Amount of Your Donation:
($)
.00
Credit Card
Visa
Master Card
American Express
Name on credit card:
Credit Card number:
No spaces (example xxxxxxxxxxxxxxxx)
Expiry Date:
YY
MM
Thank you very much for this Donation to our Scholarship program. When you submit this form, we will also receive an electronically signed "Direction Letter" that will instruct us to hold your donation in trust for no less than 10 years, using only interest income from the capital for our programs