Yes, I would like to support the Foundation!







c   I would like to make and designate a donation of (circle one)

$ 25
$ 50
$ 100
$ 250
$ 1000

$ ___________








I would like this donation to go to
_____ The General Community Fund





_____ Founders Fund (administrative endowment)





_____ Other (specify) ________________________







c   I would like to start an Emerging Fund with an initial gift of (circle one)








$ 1000
$ 2000
$ 5000
(staff with contact you to follow up on your intentions)







DONOR INFORMATION (please print) :
Name(s) for use on donor list: ______________________
_____________________________________ ________
Telephone # (____)____________
e-mail:______________________
Address:_________________________ City & Province : ________________ Postal Code:________

PAYMENT METHOD
c   Cash
c   Enclosed is my cheque payable to Lethbridge Community Foundation
c   Please charge my VISA credit card :

Card number:_______________________  
Expiry Date:____/____

Name on card:__________________________
Your Signature ____________________

PROTECTING YOUR PRIVACY

The Lethbridge Community Foundation values your support. We also respect your privacy and are committed to protecting your personal information. The information you provide to us is used to process and acknowledge your gift, to provide you with relevant information about the organization, and to improve our fund raising and donor services. We also use your information in our donor recognition program by publishing donor names in our publications such as the Annual Report. We do not share with or sell our donor information to third parties. You may prefer to remain anonymous. If so, please indicate your preferences.








c   We do not want our name(s) published in the Annual Report or elsewhere.

Signature (required):___________________________________________________
please print and submit donor card to
404 8th St South
Lethbridge, AB T1J 2J7