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: ____ APPEAL: YOUTH ACTIVITIES PACKAGE:
RE ID#__________
SPECIAL INSTRUCTIONS (for admin.) 1. Please use new naming convention, all groups start with CRC OZ YOUTH followed by Group Name/location