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Toronto Rape Crisis Centre / Multicultural Women Against Rape

PLEDGE FORM 2015

Please help this Bowler raise at least $250 to help support essential programming for survivors of sexual violence.
Bowler Name

Phone

Team Captain
TOTAL
PLEDGES

TOTAL
SUBMITTED $

$
TRCC CONFIRMATION INITIAL HERE

Tax receipts issued for donations of $20 + (only if indicated). For donors to receive a tax receipt, you must provide email address.
PLEDGE
RECEIVED

Yes. I want a
TAX RECEIPT

NAME

Email Address

Address

PROV

Amount

$
SUBTOTAL CANADA HELPS ONLINE DONATIONS (ATTACH PRINTOUT OF DONATIONS WITH PLEDGE FORMS)

SubTotal Cash and Cheques


TOTAL $
PLEASE MAKE CHEQUES PAYABLE TO: TORONTO RAPE CRISIS CENTRE
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