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CORPORATE DONATION FORM
Name:__________________________________
Address:____________________________________________________________
Postal Code:___________________ Country:___________________
Donation Amount:_____________________
Donation Levels:
Supporter: $500 to $2,499 | Friend: $2,500 to $7,499 | Patron: $7,500 to $24,999
* $25,000 and over — contact CCA office
METHOD OF PAYMENT
Cheque/Money Order:
Please make cheque/money order
payable to Canadian Cycling Association (send via mail with completed form)
___ Visa ___ Mastercard ___ American express
Card #____________________________
Expiry Date:______________
Name on card: ____________________________
Signature: ____________________________ (mail in only)
Thank you for your support - it is greatly appreciated! A tax receipt will be mailed to you at the address indicated above.
203 - 2197 Riverside Drive, Ottawa, Ontario, K1H 7X3
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