It's Only a Loonie
Pledge Form
I pledge $__________________ to raise money for the Canadian Cancer Society.
Please make cheque or money order payable to the Explorer RV Club Cancer Fund and return this form with your pledge.
Send all cheques or money orders to:
Explorer RV Club Cancer Fund
Box 800, Beaverton, ON L0K 1A0
Check box if tax receipt is required: Yes
No
(Please print full name and address if receipt is required.)
Name:________________________________________
Address:_______________________________________
Receipt will be issued by the Canadian Cancer Society