Electronic Gift-In-Kind & Monetary Donation Form

Thank you for your interest in providing a donation to support Township projects, programs or services. All Donations will be evaluated by the Township prior to acceptance to determine whether the Donation meets the requirements of the Township’s Donation Policy.

Donation will be allocated in accordance with the purpose stated on the form below.

A minimum donation of $20.00 is required to receive a donation receipt. The Township will issue an Official Donation Receipt in the name of the Donor for an Eligible Donation accepted by the Township and made payable to the Township within 7 business days from the date that the Donation clears the bank. The Official Donation Receipt will be issued electronically or by mail to the addresses provided on this form.

Name of Donor *

First

Last

Mailing Address of Donor *

Address Line 1

Address Line 2

City

OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Phone Number of Donor *

Email of Donor *

Donation Type: *

• Gift-In-Kind Donation
• Monetary Donation

Purpose of Donation *–General Donation

Where would you like your donation to be directed to? *General DonationConstruction of the Killean School Bell StructurePuslinch Community Centre Digital Sign Replacement

Briefly describe the Gift-In-Kind donation being offered: *

Briefly describe the monetary donation being offered: *

Donation Amount *

Minimum donation to receive a donation receipt is $20.00

Minimum Price: $20.00

Total

$0.00

Credit Card *

Card

Name on Card

Submit

Personal information on this form is collected under the authority of the Municipal Act and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.