Victoria Jubilee Hall

            Invitation To Donate 

Your donation will assist with ongoing restoration and upgrades to this historic building.

Date:__________________________________________________________________

Name of Donor: _________________________________________________________

Phone Number: _________________________________________________________

Type of Donation:        ___ Donation           ___ In Memory         ___ In Honour

In honour of / memory of  ( Name): _________________________________________

Card to be sent to: _______________________________________________________

Name: _________________________________________________________________

Address: _______________________________________________________________

City, Province: __________________________________________________________

Card Comments:__________________________________________________________
________________________________________________________________________
________________________________________________________________________

Date Card To Be Sent: ____________________________________________________

Amount of Donation: ______________________________________________________

Payment Method:         ____ MasterCard           _____Cheque

Card Number: ____________________________________________________________
Expiry Date: _____________________________________________________________
Name on Card: ___________________________________________________________                         

Signature: ________________________________________________________________

Please print off this page, enter the  information and send to

Victoria Jubilee Hall,  111 Jackson St. S.,  P.O. Box 369,  Walkerton, Ontario N0G 2V0

Phone: 519-881-2826                                                        Email: vjh@wightman.ca