Chinese Cultural Centre of Greater Toronto

A Dream Comes True, Because of You.

I would like to support the construction of the
new Theatre and Multi-purpose Hall of the
Chinese Cultural Centre of Greater Toronto,
a project of profound cultural significance.
I prefer to make a monthly pledge of
[ ] $10    [ ] $20    [ ] $50    [ ] Other $
Donation commencing date: ___________ for ______ years
I prefer to make a one-time donation:  [ ] $_____________
Name: ___________________________________________
Address: _________________________________________
_________________________________________________
(City) (Province) (Postal code)
Telephone: _______________________________________
Email address: ____________________________________
(Donation of $20 or above will be issued tax receipt.)

Payment Method

[ ] Please find enclosed my cheque payable to Chinese Cultural Centre of Greater Toronto
[ ] Please charge my credit card:
[ ]Visa   [ ]MasterCard   Cardholder's Name ____________________________
 
Credit Card Number       Expiry Date ___________________________________
 

I would like to help keep costs down by choosing pre-authorized payments.
[ ] I hereby authorize Chinese Cultural Centre of Greater Toronto to make automatic MONTHLY withdrawals from my bank account or credit card, as indicated. I understand that I may cancel this authorization at any time by notifying the Centre in writing.
[ ] I have enclosed a blank cheque marked “VOID” for pre-authorized payment banking information.

 

 
_________________________________________________
Signature Date

Please send cheque with this form to: Chinese Cultural Centre of Greater Toronto
5183 Sheppard Avenue East, Scarborough, Ontario, M1B 5Z5