The total of all cards selected below must add up to$200, $300 or $400(or combinations of these 3 order levels i.e. $200+$300=$500). You will receive your card order once a month. If you want to change or cancel your order just contact the CCS office on or before the 20th of the month to make the change to your order for the next month. You are not locked in to this order- you can cancel anytime with 30 days prior notice.
@ $200/month=$70 donation @ $300/month= $100 donation @ $400/month =$70*/$140 donation
A. Automatic Bank Withdrawal Click to select this payment method.
Name of Financial Institution:
Branch location (street, city & prov):
5-Digit Branch No:
3-Digit Institution No:
Please Withdraw Funds: Full amount on 1st of the month 1/2 of amount on 1st and 1/2 on 15th of the month Weekly on the 1st, 8th, 15th, 22nd. (min. of $400/month)
B. Credit Card (available on orders of $400/month or more.) Click to select this payment method.
Type of Card: Visa Mastercard
Name on Card:
I/we the undersigned authorize Community Charity Services (CCS) to debit my/our account at the financial institution indicated under the terms and conditions agreed by me/us with CCS until such time as written notice to the contrary is given by me/us. I/we have read and understood the terms and conditions and hereby accept them as a condition of my/our participation in PAP. I also authorize CCS to forward my annual purchase discount to The Canadian Charity Foundation
3. Enter My Mailing address & Contact Information:
Cell Phone#(land line if you do not have a cell)
The Group I am Supporting by Participating in the 'Pay The Gift Card Way' fundraiser:
A Big 'THANK YOU' from the group you are supporting today! *You will receive a charitable tax receipt in your January order each year (if the group you are supporting is a registered charity).
Download Printable Version