Huskies Special Assistance Fund Donation Form (Hamilton Huskies)

Huskies Special Assistance Fund Donation Form

Purpose of Donation / In Memory Of:^*

Required

First Name^*

Required

Last Name^*

Required

Company Name

Phone Number - Optional

Example: ###-###-####

Example: [email protected]. Your submission will be sent to this address.

Amount of Donation $^*

Required

Payment Method^*

Cheque
Mastercard
Visa

Required

IF PAYMENT BY CHEQUE: I confirm that a cheque payable to the Hamilton Huskies Hockey Club will be mailed to 6-72 Stonechurch Road West L9B 2H8 immediately following the submission of this form.

Check Box to confirm

Credit Card #

Expiry Month

Expiry Year

Receipt Request^*

Please mail a receipt to the address below
I do not require a receipt

Required

At this time the Hamilton Huskies are a Not For Profit Organization and can not issue a receipt for Tax Deduction purposes. All monies designated for the Special Assistance Fund are primarily used to subsidize the playing costs for players needing assistance and from time to time a contribution to a registered charity of our choice.

Number & Street Name

City

Postal Code

Huskies Special Assistance Fund Donation Form (Hamilton Huskies)

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