The Scott Reid Foundation: Donation Form

The Scott Reid Foundation / Scholarship Fund

Donation Form

      If you would like to make a donation to our foundation, please complete this form and
then click on the Submit Form button. Someone from our foundation will reply to your offer. 
Fields marked with an * are required. Thank you for support!

Title:

First name: *

Last name: *

Job Title:

Company Name:

Address1:*

Address2:

City:*

Province:*

Postal Code:*

Daytime Telephone: *

Evening Telephone: *

Email Address: *

Donation Amount: *

Please make any comments or give special instructions in the space provided:

How did you hear about us?

(To select more than one item from the list, hold down the Ctrl key and left click)

   I have read and understand your privacy policy and consent to your use of my personal
       information, subject to the terms of your privacy policy.

Payment Options (* Please select Option 1 or 2):

  1. Print and mail this form and a cheque payable to:
                               
                                              The Scott Reid Foundation/Scholarship Fund.

       Please mail your completed donation form and cheque to:

Adam Reid, 
RR # 4, Barnes Road,
Brighton, ON  K0K 1H0

  2. Submit this form and donate by credit card using PayPal.
           (After you click on the Submit Form button, you will be able to make your donation using PayPal).