North Bay's Rotary Splash Pad Pledge Form
This form is provided for businesses, organizations, and individuals that wish to make a pledge towards the project. Donations can be split over 2 years (2018, 2019). Donors of $5,000, or more, have the opportunity to be named on the Donor Board.
YES, I am interested in becoming a Donor by...
Making a 1-time donation of $5,000 in 2018.
Making a 1-time donation of $5,000 in 2019.
Making a split donation of $5,000 over 2 years (2018, 2019).
Making a donation of $5,000 using Securities [stocks, mutual funds, bonds etc.).
Making a donation of another amount. Please specify the amount below.
The specified amount you wish to donate?
Please select one of the following options to make your donation:
Interac e-Transfer. Via your online banking and send to Recipient: rotarymakeasplash E-mail:
Cheque payable to "Rotary Club of North Bay", PO Box 242, North Bay ON P1B 8H2 (Please specify 'Rotary Splash Pad' on memo line.)
Business, Organization or Individual Name.
Do you wish to have your name displayed on the Donor Board (donations $5,000 or more), website and other communications?
E-MAIL (best way to stay connected):
North Bay's Family of Rotary thanks you for your generous support!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service