Donation Form

Print off this page, fill it out and mail it to the address below.

Name:

Mailing Address:

Please check off one or both of the following:

□ Yes, I/we wish to donate to help the Mills Community Support administer much needed programs and services in our community.

□ Check here if you wish to remain anonymous

Please make cheque payable to:

Mills Community Support

P.O. Box 610, 67 Industrial Drive

Almonte, ON K0A 1A0

Charitable Registration No.: 12879 1696 RR.0001

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