Canadian Serbian Humanitarian Foundation Stara Raška

Donation Form

Please provide the following contact information:

First Name

 

Last Name

 

Street Address

 

Address (cont.)

 

City

 

State/Province

 

Zip/Postal Code

 

Country

 

Phone

 

E-mail

 

Choose one of the following options:

$100 Yearly Membership

Other amount (please enter the amount of donation):

*At this time we accept only payments made by cheques and/or money orders.

Please make yuor cheque payable to Stara Raska, print out this form and mail it to:

Humanitarian Foundation Stara Raska
3148 Parkerhill Road
Mississauga, Ontario
L5B 1V8
Canada

Do you need tax receipt for your donation?

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