I support the important ecumenical work of the Canadian Council of Churches, and would like to help contribute to strengthening ecumenism in Canada. I offer:

• A donation of $ _______ is enclosed (cheque or money order).
  
  
• A pledge of $ _______ to be payable by (date) _____________.
  
  
• Contribution via Direct Deposit (pre-authorized remittance, )
  
  I authorize a direct debit to my bank account of $ _______ per month for 2007.
  PLEASE INCLUDE A VOID CHEQUE.
  
  
• $250
  
• Enclosed is a donation of $ _______ as a memorial or celebration gift:
  
  • in memoriam
  • milestone celebration

This memorial/milestone gift is in the name of ___________________________ (please print).

Please send a note regarding this gift to (please print):

      ________________________________________

      ________________________________________

Comment (if any):






Please make cheques or money orders payable to "The Canadian Council of Churches," and send to the address listed below.


To respect your privacy:

• I wish my donation or gift to be anonymous.
• Please do not use my name in any CCC publication thanking donors.
• Yes, you may publish my name in any CCC publication thanking our donors.

The name listed should be: __________________________________________

Please be assured that the CCC will not release your name to any other organization.

My Name ___________________________________________________________

Title (if applicable) ____________________________________________________

Address ______________________________ _____________________________

City ___________________ Province ________ Postal Code ____________

E-mail ____________________________ Signature ______________________