Vancouver MS WALK 2010 Participant : Danielle Doucette (2945138 - 1166380) Team Donation - Rainy City Runners Please complete this form and send it to the address listed below. To ensure an accurate tax receipt, please be sure to PRINT NEATLY. For security reasons, please DO NOT send cash in the mail. If sending a cheque, please make it payable to: MS Society of Canada. 1501-4330 Kingsway Burnaby, BC V5H 4G7 Fax Number : +1 (604) 689-0377

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Donation Amount	An official tax receipt will be issued for paid pledges of $20.00 or more. Tax receipts will be issued within five (5) months of the funds being submitted. For inquiries call: 1-800-268-7582. $25$50$100Other
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