Instructions: Print this page; fill-in the information; then, mail it to the address at the bottom.

 

Intention to Give

I/We want to join with the gifts and commitments of others in support of the day-to-day operations of

Charlottetown Chito Ryu Karate and in securing its future.

 

Name(s)    
     
Address    
     
Home Phone    
Work Phone    
Email    

 

Therefore, in addition to other critically important yearly gifts to the Charlottetown Chito Ryu Karate operating fund,
 

it is my/our intention to give a gift of $_____________   and this commitment will be fulfilled as follows:

  

 Enclosed is a check for $_____________ made payable to Charlottetown Chito Ryu Karate

 

 The balance of my/our gift will be fulfilled with post-dated checks, as follows:

        

   Gift Amount(s)  

 

   In the Month of  

    Year  

 

$

     

        

$

     

 

$

     

        

$

     
  Other:      
   

 

 

 

 
 I/We wish to make a gift of non-cash (appreciated securities, closely held stock, personal property) or
    deferred gift (bequest, charitable annuity or trust, pooled life income plans).  Please describe briefly:

   

 

Other gift arrangement; please describe briefly:

   

 

Name(s) as you wish them to appear in print for recognition purposes:

   
   

 

I/We would like our gift to remain anonymous.

 

Signature   Date  
Signature   Date  

 

If you have questions regarding your gift, please call Sensei Ken Roper (902) 892-3640.

Thank You for Your Generosity!

 

Email: KRoper@eastlink.ca

Internet: www.PEIChitoRyu.ca

 

Instructions: Print this page; fill-in the information; then, mail the form with your check(s) to:

Charlottetown Chito Ryu Karate
Dojo Fund-raising
c/o Ken Roper
25 Hillside Drive, Charlottetown, PEI C1A 6H9