Saint Paul University
223 Main Street
Ottawa, Ontario, Canada
K1S 1C4
Phone: 1-800 637-6859
Email: info@ustpaul.ca
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Making a donation

Please complete the top portion of this form on screen. Required fields are marked with an asterisk. Then print the form and complete the rest by hand.

Your personal information
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Donation information

I would like to make a monthly donation of:

$ 25
$ 50
$ 75
Other Amount: $
This donation is made on behalf of: 

The debit will be processed to your account on or around the 18th day of each month.

I may revoke my authorization at any time, subject to providing notice of 30 days.  To obtain a sample cancellation form, or for more information on my right to cancel a PAD Agreement, I may contact my financial institution or visit www.cdnpay.ca.

Saint Paul University                                     
223 Main Street                                 
Ottawa, Ontario, K1S 1C4
Tel:  613-236-1393 Ext 2257 or 1-800-637-6859
E-mail:  dclapin@ustpaul.ca
 
I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement.  To obtain more information on my recourse rights, I may contact my financial institution or visit www.cdnpay.ca.
-------------------------- Please complete the following section after printing the form. --------------------------
When you have finished, mail the entire form to:   Please charge my credit card:    

223 Main Street
Ottawa, Ontario  K1S 1C4

 
   Card number: ______________________________
   Expiry date: ______________________________

We respect the privacy of our many alumni and donors. We do not share our list with other organizations.

Tax receipts are issued for donations of $10 or more. Receipts for amounts under $10 will be issued upon request.

Canada Revenue Agency: www.cra-arc.gc.ca/tx/chrts/menu-eng.html. Charitable organization registration number: 10816 1282 RR0001.

 
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(Please sign here if you are making a donation by cheque or by credit card.)