Donation Form

YES, I wish to support GSC’s strategic ministry!  (Print this page, fill it out, then mail it in.)
My donation is intended to benefit the work of:
GSC Professors
 Dia and Helene Diafwila, Cameroon
 Stephen and Jennifer Ney, Sierra Leone
 David and Cindy Hallett, Asia
 Rudy and Marlene Wiebe, Nigeria
 Manhee and Eunice Yoon, Gambia
GSC Appointees
 Justice and Esther Akpan
 Sandra Braun
 Jamie Hellewell and April Griffin
 Ian Ritchie
Global Scholars (USA) Fellows
 Robert and Adrienne Lillo, Nigeria
 Frank and Jo Peters, Ireland
 Layne Turner, Gambia
 Kraig and Loren Warmeneude, Mexico
 Other
 Other
 Harro Van Brummelen Fund (to support new Appointees in their first year of service)
 Special Project (please specify) _____________________________________________
 GSC Administration
I/We enclose a gift of  $50     $100    $250    $500    $1000    Other $ _____________
I/We enclose postdated cheques of  $ __________      monthly     quarterly
I/We authorize automatic fund transfer of $ __________ monthly starting ___________________
(Include a cheque marked “Void.” Funds are debited the 1st or 15th of each month; payments can be stopped or revised anytime with 10 days’ notice.)
Title: ____ First Name:  _____________________________________ Last Name: _____________________________________
Street Address:  _________________________________________________________________________________________
City:  _____________________________________ Province: ___________ Postal Code: ___________
Email Address:_____________________________________
Preferred Phone:______________________
Send this completed form and cheque to:
Global Scholars Canada
P.O. Box 72052
1630 Danforth Avenue
Toronto ON M4C 0A1 Canada