Friends of the Kincardine Scottish Pipe Band Contribution Form

 
First Name:  
Surname:  
Street Address:  
City/Town:  
Postal Code  
Telephone:  
Email Address:  
 
Plan A - $100.00
Plan B - 4 quarterly payments of $25.00 each.
Do you require a Tax Receipt?      Yes   or   No
 
Please mail to:

Friends of the Kincardine Scottish
Box 476
Kincardine, Ontario
N2Z 2Y9