10. D. OSA Donation Form

Donation Form 10.D - 10. Forms & Miscellaneous - D: Donations Form

Date*

Date

Donation type*

Group donationDistrict donationIndividual donation

Donation method*

ChequeE-transfer

Name of submitter*

Your email address*

example@example.com

Phone Number*

Area CodePhone Number

About donating by cheque

Make cheque payable to 'Ontario South Assembly' and send via regular mail- please include the confirmation PDF that will be emailed to you upon submitting this form.

Regular mail address:

O.S.A. Treasurer
P.O. Box 1151
Guelph Ontario, N1H 6N3

About donating by e-transfer

Complete this digital form and submit after you have sent your e-transfer to osatreasurer3@gmail.com.
In the memo section of the transfer, please record your District number, Group # and Group name for proper accounting of your donation. Autodeposit has been set up. There is no need for a security question or answer.

Donation details

Donation Amount (CAD)*

Canadian dollars

Note: The following fields are only relevant if you are donating on behalf of an Al-Anon group or district.

District #

Group ID (WSO ID)

Group name

City where meeting is held

Name of Group Treasurer (group / district donation only)

Name of Group Representative

Address

Remark

Thank you for your donation!

A confirmation of your donation will be sent to the email address in the form. If you are sending your donation with a physical cheque, please include the attached PDF in the envelop you use for sending the cheque, so that it can be properly processed by our Area Treasurer. Thank you for your cooperation.