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Donation FormName: ______________________________ Agency/Organization (if applicable): _________________ Mailing Address: _________________________ Apt #:____ City: __________ Province: _______ Postal Code: ___________ Phone: _______________ Fax: _________________ E-mail: ____________________________ ___ I would like to make a donation. I am enclosing a cheque for $_______. Charitable tax receipts will be issued for all donations over $20. Donations of $100 or more include one year's free membership. Membership includes our newsletter "Key Notes", program information and voting privileges at our Annual General Meeting. The NYWC will acknowledge all donors in our Annual Report & in an upcoming newsletter. If you would like your donation to remain anonymous, please check here. Please sign below to indicate your support of the NYWC's mandate and values. ______________________________________________
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