QYU (YFC) E-transfer Donation Form

PLEASE COMPLETE THIS FORM TO HELP QYU:
1. Know what your E-Transfer is for
2. Provide you with a tax receipt (optional)

AFTER SUBMITTING THIS FORM, PLEASE COMPLETE YOUR E-TRANSFER THROUGH YOUR BANK

Please select one:*

DonationPayment

Amount*

Double what QYU receives with a Matching Gift?

YesNo

What are you donating to / paying for?*

Make this a monthly donation?*

Do you want a Tax Receipt?*

Yes pleaseNo thanks

What has inspired your donation?

Any specific instructions?

You selected “YES” to make this a Monthly Donation

After submitting this form, a QYU administrative personnel will contact you with options on how to set up a monthly E-Transfer donation.

Your Name*

Email Address *

Phone Number *

Address

Street Address Line 2

Since you don't want a tax receipt, we don't need any more information.

Please send your E-Transfer to info@qyu.ca. Auto-deposit is enabled so no password is required.

Please include a note in your E-Transfer to tell us what and/or who it is for.

Confirm Amount:

QYFC is a Registered non-profit charity with the Canada Revenue Agency #107869596RR0001.