DONOR REGISTRATION/AMENDMENT FORM
ELECTRONIC OFFERING PROGRAM
New Registration: Print form
(Crtl P) and mail in with a voided cheque.
Amendments: Print form
(Crtl P) and mail or fax (705) 946-1860.
Ref # _____
Surname: ____________________________________
Salutation: _________________ First Name: ________________________
Mailing Address: ________________________________________________
City/Town: ________________________ Postal Code: __________________
Home Phone: ______________________ Work Phone: __________________
Parish: ________________________________________
_____ start
On the 15th of ______________ please _____ amend
my electronic offering
(month)
_____ suspend/cancel
My monthly donation will be as follows:
Parish Operating Fund $________ Parish Property/Building Fund $________ Special _________________________ $________ Other church ministries you may wish to contribute to: Anglican Mission Service Committee $________ Camp Gitchigomee $________ Camp Manitou $________ Mission to Seafarers $________ Primates World Relief & Development Fund $________ Total $________
Please attach a voided cheque
_____________________________
________________
Signature
Date