Friends of the Kincardine Scottish Pipe Band Contribution Form |
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| 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. |
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| Do you require a Tax Receipt? Yes or No | |
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Please mail to: Friends of the Kincardine Scottish Box 476 Kincardine, Ontario N2Z 2Y9 | |