DIRECT DONATION TO WILKINSON
SCHOOL COUNCIL
Please complete this form clearly and return it to the
school
Name:
___________________________________ Phone #: ______________
Address:
________________________________________________________
City: _____________________ Prov.: ________ Postal Code:
____________
Donation amount: ___ $10 ___ $25 ___ $50 ___ $100 ____
Other: $_____
Tax receipt requested (for amounts $25 and up only): ___
Yes ___ No