ONGIARA 7½ MILE CLUB MEMBERSHIP FORM
I wish to join the 7½ Mile Club and ‘purchase’ the following measurements:
_____ inches for a total donation of $_____________
_____ feet for a total donation of $_______________
_____ yards for a total donation of $______________
_____ ¼ mile for a total donation of $_____________
_____ ½ mile for a total donation of $_____________
_____ ¾ mile for a total donation of $_____________
_____ miles for a total donation of $______________
I would like my name/the following name _____________________on the certificate/wall map.
First Name: ________________ Last Name: _________________ Title: ___________
Address:_______________________________________________________________
City:__________________ Province/State: __________ Postal/Zip Code: __________
Country: _____________________ Home Phone Number: ______________________
Business Phone Number: _________________Ext: ________
E-mail: ______________________________ Website: _________________________
I enclose a total donation of $_______________ for Ongiara 7½ Mile Club membership made payable to:
*Ongiara College (Canadian and US funds), 1198 Ridge Rd N, Ridgeway, ON, Canada, L0S 1N0
*Ongiara Foundation (US funds), 187A Hodge Avenue, Buffalo, NY, USA, 14222
_____________________________________________________________________________________
Ongiara Foundation has a pending IRS 501(c)(3) application: any contributions made prior to the granting of federal tax exemption shall be deductible if given after 4 October 2007.
Ongiara College is a not-for-profit corporation. This will enable receipts that may be submitted for tax credits.