Thank you for remembering your special friend or loved one through your Financial Gift to the Boys and Girls Club of Moncton. Your support will enrich the lives of our communities children and youth and also assist their parents in a special and meaningful way.

Once you have completed this form, the information will be sent to the Boys and Girls Club of Moncton and a copy will be sent to your email address.

Thank you for helping us achieve our goals at the Moncton Boys & Girls Club. Your donation is very much appreciated!

Asterisk (*) indicates required information
Title
*First name
*Last name
Company Name (if applicable)
*Address  
*Town/City
*Province/State
*Postal/Zip code  ex. : E1C 9P1,90210
*Country
*Telephone (  )
Fax (  )
*E-mail

 

Title
*First name  
*Last name  
*Address  
*Town/City:  
*Province/State:
*Postal/Zip code:  ex. : E1C 9P1,90210
*Country:


Please direct my gift to:




Would you like a card placed at the funeral home?
Yes
Name of funeral home
City
 
I give the Moncton Boys & Girls Club permission to Acknowledge my gift publicly
I give the Moncton Boys & Girls Club permission to contact me in the future.

*I would like to make a donation of:

$.00

Receipt type preference:



*Please select the greeting to be printed on your card:

*In memory of:    


In the card, please identify me





 


I will donate by credit card, please contact me for details
I will send a cheque to the address below
Moncton Boys & Girls Club Inc.
Online Donation
15 Everett Street
Moncton, NB, E1C 3Z6