ACCESS 2011 DONATION FORM

How Can I Make a Donation?

There are several options, just choose the means of

payment that suits you best!

Step One – Please check one of the options below.

1] General donation, the money may be used for all ACCESS 2011
goals_____

2] Purchase of a theatre seat for $250 _______

3] Donation for Snoezelen Room equipment _______

Please Note: When you buy a theatre seat your name or a name of
your choice will be placed on a plaque, which will be attached to a
seat. Please indicate below the name that you wish to appear on the
seat.

Name to Appear on Seat: _________________________________________

A plaque will recognize donations for the Snoezelen Room with donor’s
names on the wall of the room.

General donors’ names will appear on the “Contributor’s Wall” which

will be placed by the entrance of the John A. McDermott Community
Room.
Step Two – Complete the following and mail or drop off to
AHSS with your cheque attached.

Name ________________________________________________

Address_______________________________________________

E-Mail: _____________________________________________________

Phone: _______________________________________________

Step Three - Check here if you wish an income tax

receipt___________

Please make your cheque payable to ACCESS 2011.

ACCESS 2011

c/o Almaguin Highlands Secondary School

Box 250,

South River, Ontario P0A 1X0

Alternatively, you may make donations online via our Secure Pay Pal
account. Visit www.access2011.com, and follow “Personalize-a-
theatre-seat” located just below the “Edge of our Seats” graphic.

If you have any questions, please contact Al Bottomley by phone 705-

384-5267 or email al.bottomley@gmail.com

The ACCESS committee thanks you for your support.