CEF Club Donation Contributor Information Club Name Temple Number Contact Person Address City Province AB - AlbertaBC - British ColumbiaMB - ManitobaNB - New BrunswickNL - Newfoundland and LabradorNT - Northwest TerritoriesNS - Nova ScotiaNU - NunavutON - OntarioPE - Prince Edward IslandQC - QuebecSK - SaskatchewanYT - Yukon Postal Code Phone (ex.: 403-123-4567) Email Donation Amount Recipient Information Name Address City Province AB - AlbertaBC - British ColumbiaMB - ManitobaNB - New BrunswickNL - Newfoundland and LabradorNT - Northwest TerritoriesNS - Nova ScotiaNU - NunavutON - OntarioPE - Prince Edward IslandQC - QuebecSK - SaskatchewanYT - Yukon Postal Code Date on Certificate CEF in Honour of (a letter will be sent to the recipient of the donation) CEF in Memory of (a letter will be sent to the recipient of the donation) Stepping Stones to Happiness in Honour of $25 Stepping Stones to Happiness in Memory of $25 Crown Stepping Stones to Happiness in Honour of $50 Crown Stepping Stones to Happiness in Memory of $50 21st Century Club Certificate in Honour of $100 Gold Certificate in Honour of from $200 Mailing Address of Certificate / Letter: Contributor Recipient Submit
