GAC Endowment Trust Fund Donation Form

GAC® Endowment Trust Fund – Donation Form

I want to make a Donation to the GAC® Endowment Trust Fund:

Fill in amount in Canadian Dollars: $CA

I am checking this box to give the Canadian Geological Foundation clear instruction that my gift to the GAC® Endowment Trust Fund is to be held for 10 years or more.


I am checking this box to give clear instruction to the GAC® that my donation is specifically for the Mary-Claire Ward Geoscience Award.







Personal Information:

Name:
E-Mail:
Address:
Country:
Phone:
Fax:


Payment Options

OPTION 1 – PAY ONLINE with MiraPay Secure Credit Card Payment System.
VISA, MasterCard and AMEX accepted.
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GAC® Privacy Policy

OPTION 2 – Pay By Mail or Fax:
Payment by: Cheque





Money Order





VISA





Mastercard





Eurocard





AMEX





Credit Card #____________________________________________
Expires_____________

Signature____________________________________________
*Phone and Fax orders also accepted.

Please send your donation, along with a PRINTED COPY OF THIS PAGE, to:
Geological Association of Canada
c/o Department of Earth Sciences
Room ER4063, Alexander Murray Building
Memorial University of Newfoundland
St. John’s, NL  
A1B 3X5   CANADA
E-mail: gac@mun.ca

Phone:709-864-7660       Fax: 709-864-2532
Web Page: http://www.gac.ca
THANK YOU FROM GAC® AND CGF!

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