641- 17th Avenue SW Calgary, AB. T2S 0B5

Office: (403) 228-2781 - Fax: (403) 777-7089

PLEASE PRINT FORM AND MAIL TO THE ABOVE ADDRESS

Yes, I wish to contribute to the WCHS Alumni Legacy Fund

Name:______________________Address:_________________________Postal Code:_____

Date:_____________Membership No.:__________Amount of cheque enclosed: $___________

Please make cheque payable to The Calgary Foundation (WCHS Alumni Legacy Fund)

Signature of donor:_____________________________________

TAX RECEIPT WILL BE ISSUED

*It is important that you sign a donor form for each donation in order to receive an Income Tax Receipt.

CHARITABLE REGISTRATION NO. (B.N.) 868028168RR0001