International Cup, Kids Playing for Kids

For Easy Payment by Mail or Fax

Please print, fill out and fax or mail this Contribution Form

Every Dollar Helps, and Every Dollar Counts!!

In 2006 (our first year) we managed to raise $5,000.00 for the 2 Children's Hospitals.

This year we would like to at least double the donation again!! Please help us achieve our goal, make a contribution today!

Full Name  
Address  
City  
Province  
Postal Code  
Phone Number  
Amount of Contribution  $
Receipt Required?  ( ) Yes    ( ) No
Make cheque payable to:  ARS Lac St- LOUIS / International Cup KPK

Please accept our sincere gratitude for helping us make this Dream a Reality!

Send your cheque or money order along with this completed form to:

International Cup, Kids Playing for Kids
618 Shakespeare, Dollard-des-Ormeaux, Quebec, H9G 2R3
Telephone: 514-770-1578    Fax: 514-626-8810

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