Heavenly Creatures

In Memoriam Card

In Memoriam Donation Card

This donation is in memory of:

Donation Amount:

$25

$50

$100

Other

Donor's Name:

First Last

Donor's Address:

Street Address Address Line 2 City Province Postal Code

Donor's Telephone:

Donor's Email:

I have enclosed a cheque/money order payable to Heavenly Creatures Inc. Please send an acknowledgment to:

Name:

Address:

Street Address Address Line 2 City Province Postal Code

Additional Notes:

Thank you

709.739.0077
www.heavenlycreatures.ca
Charitable Status No: #865553655RR0001

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