CCA - Donations and Trusts: Individual Cash Donations



	BMX Nationals

	Road Nationals

	Track Nationals

	Cross-Country Nationals



	Road – Tour Cycliste Féminin International Ardèche Ardèche - FRA Sept 9 – 13 www.tcfia.org/

	Road – UCI World Championships Varese - ITA Sept 24 - 28 www.varese2008.org/ita/

	CLX – Jim Horner Cyclocross Grand Prix Edmonton, AB – CAN October 12 www.juventus.ab.ca/

	Track – World Cup 1 Manchester – GBR October 17 – 19

INDIVIDUAL DONATION FORM

Name:__________________________________

Address:____________________________________________________________

Postal Code:___________________    Country:___________________

Donation Amount:_____________________

Donation Levels:
Supporter: $0 to $999   |   Friend: $1,000 to $2,499   |   Patron: $2,500 and over

METHOD OF PAYMENT

Cheque/Money Order:
Please make cheque/money order payable to Canadian Cycling Association (send via mail with completed form)

___ Visa   ___ Mastercard   ___ American express

Card #____________________________

Expiry Date:______________

Name on card: ____________________________

Signature: ____________________________ (mail in only)

Thank you for your support - it is greatly appreciated! A tax receipt will be mailed to you at the address indicated above.

Click here to print form.

203 - 2197 Riverside Drive, Ottawa, Ontario, K1H 7X3