CRC OZ YOUTH FUNDRAISING SUBMISSION FORM

Return completed form and funds to:

Michelle Wallis, OZone Dept of Philanthropy

Date: ___________________________

Received By:___________________________

CONTACT NAME/ORGANIZATION REPRESENTATIVE: Svetlana Ageeva

ADDRESS: c/o 5700 Cancross Court, Mississauga, ON L5R 3E9

CONTACT NUMBER: 905-890-1000 ext. 274

EMAIL ADDRESS: svetlana.ageeva@redcross.ca

CO-ORDINATOR (Relationship tab):

GROUP NAME/LOCATION/BRANCH

CRC OZ YOUTH

EVENT NAME/DESCRIPTION HOW FUNDS WERE RAISED (Gift Notes)

CASH AMOUNT $________

CHEQUE AMOUNT $________

NUMBER OF CHEQUES QTY _____

COLLECTION ����

TAX RECEIPTING REQUIRED ���� (Please attach receipting form with full

mailing addresses & donation amounts)

FUNDRAISING COMPLETE Y ���� N����

� CAMPAIGN: 140

� FUND: 300 Default unless otherwise designated: ____ RE ID#__________

� APPEAL: YOUTH ACTIVITIES

� PACKAGE:

SPECIAL INSTRUCTIONS (for admin.) -

1. Please use new naming convention, all groups start with CRC OZ YOUTH followed by Group Name/location