Card Selection Method of Payment Information

“JUST FOR KIDS” Foundation - Season’s Greeting Card Order Form 2010
Information
NEW
E
W
Contact name:_______________________________________
Company name:______________________________________
A
Joanne Gervais
Address:____________________________________
C
Marcel Ravary
City/Prov/Postal Code:__________________________________
B
Katerina Mertikas
D
Serge Brunoni
Card Selection
Tel: (
)_________________ Fax: (
)_________________
E-mail:___________________________________________
Quantity
A_______
B_______
C_______
D_______
Donation / card
(Min. $3/card)
$_____.00
$_____.00
$_____.00
$_____.00
Method of Payment
Cheque payable to: “Just For Kids” Foundation OR Visa / Mastercard
DONATION TOTAL
$_______
(for which a tax receipt will be issued)
$_______
$_______
$_______
Personalized printing
$_____.00 $_____.00 $_____.00
(@$75.00/order, B/W only, GST/QST incl. Call our office for colour logo quote)
$_____.00
GRAND TOTAL
$_______
Card#:_____________________________ Exp. Date: _____/_____
Signature _____________________________________________
$_______
$_______
$_______
Printing Details
Delivery: Maximim three (3) weeks
____________________________________________________________
____________________________________________________________
____________________________________________________________
Please indicate printing details or e-mail info to [email protected]
Thank you for helping us, help the kids!
3400 de Maisonneuve Blvd. W., Suite 1420, Montreal, QC H3Z 3B8
Tel: (514) 989-7673 - Fax: ( 514) 939-3551
e-mail: [email protected] - web site: www.jfkfoundation.ca
Form online: www.jfkfoundation.ca/en/events/upcoming/
Fondation <<Pour les enfants seulement>> - Cartes de Noël 2010 - Bordereau de commande
Information
Nouveau
o
u
v
e
a
u
Nom:____________________________________________
Nom d’entreprise:____________________________________
A
Joanne Gervais
Adresse:____________________________________
C
Marcel Ravary
Ville/Prov/CP:_______________________________________
B
Katerina Mertikas
D
Serge Brunoni
Sélection de la carte
Tél: (
)_________________ Fax: (
)_________________
Couriel:___________________________________________
Quantité désirée
A_______
B_______
C_______
D_______
Don par carte
(min. 3$)
$_____.00
$_____.00
$_____.00
$_____.00
DON TOTAL
(pour lequel un reçu sera émis)
$_______
Mode de Paiement
Chèque à l`ordre de: foundation <<Pour les enfants seulement >> OU Visa / Mastercard
$_______
$_______
$_______
#Carte:____________________________ Date d’exp.: _____/_____
Signature _____________________________________________
Impression personalisée
$_____.00 $_____.00 $_____.00 $_____.00
(@75$/commande, N/B, TPS/TVQ incluses. Pour un logo en coleur, appeler pour une estimation)
TOTAL DON ET COUT
D’IMPRESSION
$_______
$_______
$_______
$_______
Détails d’impression
Livraison: Maximim trois (3) semaines
____________________________________________________________
Merci de nous aider à aider les enfants!
____________________________________________________________
3400 boul. de Maisonneuve O., bureau 1420, Montreal, QC H3Z 3B8
Tél: (514) 989-7673 - Fax: ( 514) 939-3551
couriel [email protected] - Site Web: www.jfkfoundation.ca
Formulaire en ligne: www.jfkfoundation.ca/en/events/upcoming/
____________________________________________________________
Veuillez indiquer les détails d’impression ou envoyer par couriel à [email protected]