|
|||
| Donate to the Canadian Coalition for Farm Animals | |||
| Please print out and complete this form below. | |||
| Make your cheque or money order payable to CCFA and mail it to: | |||
| CCFA | |||
| 213-33 Hazelton Avenue | |||
| Toronto, Ontario Canada | |||
| M5R 2E3 | |||
| Thank you for your kind support! | |||
| CCFA Donation Form | |||
| I am donating $_____ in | |||
| [ ] Canadian currency | |||
| [ ] US currency | |||
| (please check one) | |||
| Name: | |||
| First Name: | |||
| Last Name: | |||
| Organization (if applicable): | |||
| Email: | |||
| Website (if applicable): | |||
| Address | |||
| Street address: | |||
| Town/City: | |||
| Postal/ZIP Code: | |||
| Province/state: | |||
| Country: | |||
| Home Phone: | |||
| Work Phone: | |||