WESTEND
SENIORS ACTIVITY CENTRE
9629-176 Street,
Edmonton,
Alberta
T5T 6B3 (New Address)
Phone: 483-1209
Fax: 484-7738
Email:
weseniors@interbaun.com
Name___________________________
Phone # _________________________
Address
__________________City
__________
Province
____ Postal Code ________
I wish to
contribute to the new Westend Seniors Activity Centre in the amount of
□ $100
□ $75 □
$50 □ $35 □
$10 □ Other Amount
to be donated for
□ Furnishings/Finishings
□ Operating Fund □
Endowment Fund
Please make
your cheque payable to Westend Seniors Activity Centre.
_____________________________________________( REV.CAN. No. BN 10728
3178 RR0001)
Please note: an income tax receipt will be made available for all
charitable donations over $10.00
Please make cheques payable to Westend Seniors Activity Centre.