MUSICTHON CHEQUE or E-TRANSFER DONATION FORM

CHEQUE or E-TRANSFER DONATION FORM

Please complete form below for all cheque or e-transfer donations.
Click HERE for a printable version of this form.

Makes CHEQUES payable to "CFMTA" and mail to: Lori Jede, 340 Strood Ave, Winnipeg, Manitoba, R2G 1B1

Send E-TRANSFER to treasurer@mrmta.org
Donor Name *

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email *
example@example.com
Donation Amount *
(Tax receipts will be issued for donations of $20 or more)
Payment Method *

Cheque (payable to CFMTA) E-Transfers (to treasurer@mrmta.org)
This MRMTA Musicthon donation is designated as a:
Pledged to (Name of Student)

First Name Last Name
Email to notify student of donation (optional)
example@example.com
Name of Student's Teacher

First Name Last Name
Teacher's Phone Number

Area Code Phone Number
Contact Christina Hutton (Musicthon Convener)
for all submissions and questions
mrmtamusicthon@gmail.com
Should be Empty: