7/30/2019 C-Quest Donation Form

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PLEASE DONATE

Muchas gracias por su generosidad!

C-Quest needs your help tosave a life in Mexico

 

Method of Payment:

Cheque: (payable to C-Quest)

Mastercard Visa Amex

Card Number:___________/___________/__________/__________ Expiry Date: ______/______ CVV:________

Name on Card:____________________________________________________

Address (on file with credit card company)________________________________________________________

City:_____________________________________ Province: _____________________ Postal Code:______________

Signature:_________________________________________________ Date:___________________________

Donation Amount:

$50

(Donations of $50 or more will receive a tax receipt. Please see page two for recurring donation options.)

$100 $250 Other $_________

Monthly $___________

 $500 $1000

Quarterly $___________ Annually $___________

Donor Information:

Name:

Address:

City: Province: Postal Code:

Phone: Email:

Please keep me updated on C-Quest news and events (Note that you may unsubscribe at any time. We never share or sell our lists.)

 Yes, I want to help:

HealthQuest (clean water, sanitation, environmental, nutrition and medical projects)

HomeQuest (home and shelter construction and repair projects)

HopeQuest (soup kitchens, educational programs, small business mentoring, at-risk youth programs)

HeartQuest

Please allow my donation to be used where it makes the biggest impact.

(missions staff and program support, and base projects for housing short term teams)Please specify missionary family name if desired:

Recurring Donation Amount:

7/30/2019 C-Quest Donation Form

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PLEASE DONATE

 Muchas gracias por su generosidad!

Recurring Donation Options

A recurring donation helps to sustain the organization with a lasting impact.

C-Quest needs your help tosave a life in Mexico

Option 1: Send post-dated cheques made out to C-Quest.Option 2: Pay by credit card by filling out the card information on page 1 and designating arecurring donation amount.Option 3: Donate from your bank account by including a void cheque and sign the followingauthorization:

II/We request The Great Commission Foundation (on behalf of C-Quest) to arrange forfunds to be debited on the 15th day of the first month of the recurring schedule electedon Page 1 of this form, until further notice, from my/our nominated account at myfinancial institution.

Please return this completed form to:C-Quest

c/o The Great Commission Foundation #3 T/C Plaza

1335 Trans Canada Way SEMedicine Hat, Alberta, Canada T1B 1J1

Alternatively, please scan and email this form to dcuthill@c-quest.netTax receipts will be issued The Great Commission Foundation (BN: 859928483RR0001)

For more information please contact Darcy Cuthill at 403.512.4123

Signature Date