Pledge Form

Yes, I would like to support the Taking Another Leap Forward Campaign!

Personal Information

First Name(S)

Last Name(S)

Address

City

Province

Postal Code

Phone

Church

Other - please indicate

I (we) pledge a total gift of $

I (we) would like to give in the following increments:

$annually for 3 years, paid during the month of

$monthly for 36 months, paid on the 20th of every month.

$as a one-time gift, paid on,

$as a one-time gift

Payment

Payment(s) to be made as follows:

Cash, cheque, or completed pre-authorized payment form
‍Option 1: Mail to 420 Crerar Drive, Hamilton, ON, L9A5K3.

Cash, cheque, or completed pre-authorized payment form
‍Option 2: Place in the ‘Guido’ donation box at your local supporting church. Indicate 'Taking Another Leap Forward Campaign' in the cheque memo line and mark the envelope with your name.

E-transfer
Sent to takingaleap@guidodebres.com (password: leap2023). Please include your mailing address if you wish to receive a donation receipt.

Pre-authorized payment
‍Download the pre-authorized payment form as a pdf here, complete and email to takingaleap@guidodebres.com.

Credit card payment
Made at Canada Helps.

Signature

Type your name below to sign the pledge

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.