Please print this Form, fill it out, and mail with a cheque or money order to
ORGANIZATION FOR THE RESCUE OF ANIMALS
P.O. BOX 22608
300 COXWELL Ave.
First Name: _____________________________________________________
Last Name: _____________________________________________________
Address 1: _____________________________________________________
Address 2: _____________________________________________________
Postal Code: __________________ Phone: __________________________
Amount: $______________ Monthly donation: Yes___ No___
Make cheques and money orders payable to: ORA – Organization for the Rescue of Animals
I would like my donation to be applied to: Cat Rescue ___ Dog Rescue ___ Anything ___
Official Receipt for Income Tax Purposes will be Issued if Requested. Charitable Registration # 85580 9448 RR0001.
Official Receipt: Yes ___ No ___
If you wish to make a monthly donation, please state the amount, and include a blank cheque marked “VOID”.