Save Valois Park Funding Form
Name:
Address:

Telephone:
e-mail:
Signature		 ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
  
 

Please check all applicable boxes below:

(x) I support the legal action being taken to save our school
( ) I am enclosing a cheque in the amount of $200.00 (assessed value)
( ) I am enclosing 4 cheques in the amount of $50.00 each dated as follows:
    March 1, April 1, May 1, June 1, 2006
( ) I am enclosing $_____________
 
Please make all cheques payable to “Julius Grey in Trust”

Cheques may be dropped off or mailed to my house at :

114 Belmont
Pointe Claire, Quebec
H9R 2P3

Please note that re-imbursements will be issued individually in the event that extra funds are raised.
We are sorry but we cannot issue tax receipts, as there is no charity foundation set up.

Thank you for contributing to save your school,

Richard Haddad