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Pre-Authorized Payment Form

Member Information

Name

Address

Email

Phone

Expansion Drive Payment Information

TOTAL Amount Pledged

$

Monthly Amount Pledged

$

$

$

I hereby authorize Attercliffe Canadian Reformed Elementary School (ACRES) to withdraw the regular monthly payment as indicated above. Should I wish to change or cancel the payment the ACRES treasurer should be notified in writing prior to the first day of the month of withdrawal.

Payment Details

Please fill in account details below or send us a VOID cheque to expansion@acreschool.ca

Transit number

Bank ID

Account Number

Donor Commitment

I/we commit to fulfilling this pledge in support of ACRES School expansion project.

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Contact
(905) 774-9009
office@acreschool.ca
Location
85785 Canborough Road,
Dunnville, ON N1A 2W1
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