Donor Information (Required)
Individual Corporate / Other Entity
Full Name of Individual OR Legal Name of Corporate / Other Entity (please provide full name of contact)
Street Address / Suite Number City Province/State
New Building Fund: These funds are specifically to be used to support the Fresh and Green Academy New Building Fund and are due when confirmed pledges, donations and grants total 80% of the target $500,000 and on or before May 31st, 2023 (the “Deadline”). All values are Canadian dollars.
YES, I want to be a Founder and have naming rights (see Recognition Details below) by pledging a one-time donation payable in the amount of $25,000.00.
YES, I want to be a Builder, recognized on the lobby plaque by pledging a one-time donation payable in the amount of $10,000.00.
YES, I want to make a pledge in the amount of $ .
My company, , has a Matching Gift Program and will match my donation at % or $ . Contact (Contact Name) for details at
(Contact Telephone Number and Email Address).
Confirmation of Pledge Above
Today’s Date Signature (Required)
Method of Payment
I will pay by cheque or bank draft payable to Canadian Friends of Fresh and Green Academy Inc. postmarked by the Deadline.
Please charge my VISA MasterCard as follows (recommended for less than $1,000 transaction).
Card Number Expiry date (MM/YY)
Name on Card
For recognition, I/we wish to have this gift listed under the following name(s) (Please note family and company names only, no
political or religious references are allowed):
For Founders only, please designate the following educational space and we will install a suitable plaque there in the above
name(s): First choice ( e.g. Classroom #3, or Play Room):
Alternatively, I/we wish to remain anonymous. Anonymous Gift indications signify that your name(s) will not be used in any public donor recognition.
Issuance of Donation Tax Receipt: Cheque/Draft/Cash/Credit Card donations must be received at canadahelps.org or by mail, fax, or email no later than December 31st to be receipted in that calendar year. To make a donation of securities, please contact Neil Jones, President, Canadian Friends of Fresh and Green Academy Inc. at 647-478-7730 or email@example.com.
PLEASE SEND THIS PLEDGE FORM TO:
Attention: Mr. Neil Jones, President, Canadian Friends of Fresh and Green Inc.
Mail: 212-80 Front St. E, Toronto, ON M5E 1T4 Email: firstname.lastname@example.org