QYU (YFC) E-transfer Donation Form

Please complete this form to help Quinte Youth Unlimited (QYU):
1. Know what your e-Transfer is for
2. Provide you with a tax receipt (optional)
e-Transfer Details
Is this for a Donation or Payment?*

DonationPayment
What are you {thisIs} for?*
Amount*
Frequency*

One-TimeMonthly
Thank you for considering a monthly recurring donation! After submitting this form, a QYU administrator will contact you with options on how to set up a monthly e-transfer donation.
Do you want a Tax Receipt?*

Yes pleaseNo thanks
One-Time or Monthly?*
Double what QYU receives with a Matching Gift?

YesNo
What has inspired your donation?
Any specific instructions?
Tax Receipt Details
Confirm Amount:
Your Name*
Phone Number *
Your Name*

First NameLast Name
Email Address *
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
I give my consent for Quinte Youth Unlimited (QYU) to collect, use, and disclose my personal information provided on this form for the purpose of managing donations.*

Yes, I consent to QYU collecting, using, and disclosing my personal information provided on this form for the purpose of managing donations

After submitting this form, please complete your e-transfer through your bank.

e-Transfers can be sent to info@qyu.ca. Auto-deposit is enabled so no password is required.

It is also helpful to include a note in your e-transfer to tell us what and/or who it is for.

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

e-Transfer Details