Please fill out this form with the appropriate information,
print it off and then mail it.

I am making a donation of $: 

To Garth Homer Foundation:      To Garth Homer Society: 

I enclose a cheque:      Visa:      Mastercard:

Card #:     Expiry Date: 

Signature:  

Please mail my tax receipt to:

Name: 

Address: 

City: 

Postal Code:     Telephone: 

Mail this form to:
The Garth Homer Society, 813 Darwin Avenue,
Victoria, BC Canada V8X 2X7.
OR
The Garth Homer Foundation, 813 Darwin Avenue,
Victoria, BC Canada V8X 2X7.
OR
Fax: (250) 475-2279.