Diane Shieron Scholarship - Cheques / E-transfers

Donation to Diane Shieron Scholarship

Payment by e-transfer or cheque
PERSONAL INFORMATION:
Name*

First NameLast Name
Email*
example@example.com
Address:*

Street Address

Apt. or other information

CityProvince / State

Postal / Zip Code
Phone Number (optional)
Please enter a valid phone number.
PAYMENT
Indicate Payment Method*

e-transfercheque
e-transfer:

Please send e-transfer to: treasurer@orffcanada.ca
Cheque:

Make cheque payable to "Carl Orff Canada"

Mail cheque to:

Batya Levy (Treasurer)

102-B Laurel Avenue

Scarborough, ON M1K 3J9
Should be Empty: