FRIENDS OF FREEMAN STATION ORDER FORM

AVAILABLE FOR PURCHASE:

WHINSTONE $100 (tax receipt provided) _____________

MEMBERSHIP $20/$200 ______________

MEMBERSHIP & MUG $35 ______________ MUG ONLY: $20________________

T-SHIRT $25 ______________________ (Size XXL ONLY)

SPONSOR THESE AT THE STATION:

PLANTER $250__________________BENCH $500_______________

A STRAIGHT DONATION:

DONATION (tax receipt provided over $25) $_______________

(PLEASE PRINT CLEARLY)

NAME________________________________________________

STREET ______________________________________________

CITY _______________________ PROVINCE _______ POSTAL CODE ___________

EMAIL ADDRESS_____________________________________________________
We believe that emails are a crucial and cost-effective way for Friends of Freeman Station,
a non-profit organisation operating on a very limited budget, to stay in touch with our volunteers and supporters like you.

PHONE NUMBER IF NO E-MAIL ADDRESS __________________________

AMOUNT OF CHEQUE $ _______________

PLEASE MAKE YOUR CHEQUE PAYABLE TO “FRIENDS OF FREEMAN STATION”

MAIL TO: FRIENDS OF FREEMAN STATION
P.O. BOX 91536 ROSELAND PLAZA, 3023 NEW STREET,B
URLINGTON, ON, L7R 4L6

Donations accepted with sincere thanks.