Donation Form Make A Wish Foundation of Canada

MAKE-A-WISH® MAIL-IN GIFT FORM

Please make all cheques payable to the Make-A-Wish chapter that you wish to donate to or please complete the payment details below.

Date (mm/dd/yr):

Name:

Address:

City: Province: Postal Code:

Phone: Email:

Enclosed is my gift of:

Please add me to the Make-A-Wish: E-newsletter List Mailing List

PLEASE DESIGNATE MY GIFT AS SELECTED (SELECT ONE):

Make-A-Wish® Canada. Your generous donation will support wish-granting across the country.

My local Make-A-Wish chapter. Your generous donation will support wish-granting in the local region. Please send donation to the appropriate addresses below.

DONATION AMOUNT:

Gift Amount: $ Or I would prefer to donate monthly: $ / month

PAYMENT INFO:

IF YOU WOULD LIKE TO MAKE A MEMORIAL OR TRIBUTE GIFT, PLEASE COMPLETE THE FOLLOWING SECTION:

In honour of:

In memory of:

Personal message to be added to the card:

Send gift notification to (name):

Address:

City: Province: Postal Code:

Please mail your completed donation form to the desired Make-A-Wish address listed below. Please do not mail cash. Thank you for your continued support!

MAKE-A-WISH CANADA AND CHAPTER/DIVISION OFFICE ADDRESSES

Make-A-Wish® Canada — #520 – 4211 Yonge Street, Toronto, ON M2P 2A9 — Telephone: (416) 224-9474 Fax: (416) 224-8795 Toll-free: 1-888-822-9474 — BN/Registration number: 895269173 RR 0001

Make-A-Wish® Atlantic Provinces — 5991 Spring Garden Road, Suite 605, Halifax, NS B3H 1Y6 — Telephone: (902) 466-9474 Fax: (902) 466-0602 Toll-free: 1-877-466-WISH — BN/Registration number: 881291918 RR 0001

Make-A-Wish® Quebec / La Foundation Fais-Un-Voeu du Quebec — 353 rue St. Nicolas, Suite 215, Montreal, QC, H2Y 2P1 — Telephone: (514) 488-9474 Fax: (514) 221-4774 Toll-free: 1-866-543-9474 (QC only) — BN/Registration number: 876189119 RR 0001

Make-A-Wish Canada – Toronto & Central Ontario Division — #520 – 4211 Yonge Street, Toronto, ON M2P 2A9 — Telephone: (416)224-9474 Fax: (416)224-8795 — BN/Registration number: 895269173 RR 0001

Make-A-Wish® Southwestern Ontario — 307 Commissioners Road West, London, ON N6J 1Y4 — Telephone: (519) 471-4900 Fax: (519) 471-4933 — BN/Registration number: 119029494 RR 0001

Make-A-Wish® Eastern Ontario — 92 Bentley Ave., Ottawa, ON K2E 6T9 — Telephone: (613) 234-3555 Fax: (613) 234-5417 — BN/Registration number: 875964421 RR 0001

Make-A-Wish® Southern Alberta — Bay #4, 2308 – 24 Street SW, Calgary, AB T2T 5H8 — Telephone: (403) 228-3666 Fax: (403) 246-0946 Toll-free: 1-866-502-3666 — BN/Registration number: 886104694 RR 0001

Make-A-Wish® Northern Alberta — 16007 – 118 Ave., Edmonton, AB T5V 1C7 — Telephone: (780) 444-9474 Fax: (780) 489-9477 Toll-free: 1-866-944-9474 — BN/Registration number: 868902768 RR 0001

Make-A-Wish® British Columbia & Yukon — #112 – 2025 W. Broadway, Vancouver, BC V6J 1Z6 — Telephone: (604) 688-7944 Fax: (604) 688-7990 Toll-free: 1-866-277-9474 — BN/Registration number: 107657371 RR 0001