The British Columbia Association
of Professionals with Disabilities respects your privacy. This form
is for our use only. We do not lend or sell any of your personal information.
Please print this form, complete and return
it to us.
May we correspond with you via e-mail? ____ yes ____no
Amount of gift: $__________
If you would like to make this donation in tribute to the memory or in the honour of someone or a special occasion, please complete the following section.
I would like to make my gift in ____ memory or in _____ honour of: _________________________
Please send a card notifying the person, family,
or occasion of my tribute gift? ____ yes ____no (Amount of gift will
not be disclosed unless requested)
If yes, please send card to:
Relationship to the person/occasion
in memory or honour of:___________________________
What personal note do you want us to include in this card - if any? _____________________________
Please make cheque payable to the British Columbia Association of Professionals with Disabilities. Send the completed form with your cheque to:
British Columbia Association of Professionals
Thank you for your contribution.
**Please note that the British Columbia Association of Professionals with Disabilities is a provincially incorporated non-profit and not a registered charity. Donations are not tax deductible.