If you would like to support our efforts to promote organ donor awareness, please print the form below and mail it, along with your donation (to the address below).
 

Enclosed is my donation of:       $150        $80         $25      Other

Method of Payment:  Please do not send cash in the mail.   

Please make cheque payable to the “SODA Group”

Charitable Registration #891406258RR0001 .  An official charitable tax receipt will be issued.

Name:____________________________________________________

Address:______________________________________________________________________

City:__________________________  Province: __________________ 

Phone Number:_________________

Signature:__________________________________________     Date:________________
 

Sarnia Organ Donor Awareness Group
546 N. Christina St. Suite 505B
Sarnia, ON
N7T 5W6