If you are interested in donating to our organization, please print and mail in the form below.

WESTEND SENIORS ACTIVITY CENTRE 9629-176  Street, Edmonton, Alberta     T5T 6B3 (New Address) Phone: 483-1209      Fax: 484-7738             Email: weseniors@westendseniors.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.