Pacific Branch Christmas Giving Donations
We are continuing our support to the Surrey Food Bank and the Langley Hospital Foundation.
Please use the short form below to print and fill in with the sum any donations you would like to make. You can also pay your annual membership dues.
If you prefer, there will also be an opportunity to donate to the charities at this year’s Christmas Luncheon at Newlands Golf and Country Club on Thursday, November 24.
Please print and mail this form and your cheque (made out to BC Hydro Power Pioneers Pacific Branch) to:
Velma Derksen
Unit 236 – 13888 70th Ave.
Surrey, B.C. V3W 0R8
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Pacific Branch Christmas Giving
Thank you for continuing our tradition of Pacific Branch Christmas Giving.
Name:
Contact information in case of questions:
Phone: Email: ________________________
- Annual Membership Dues of $10.00 per member is for:
______________________ __________________________
(Retiree) (Spouse)
Total Annual Membership Dues? $____________
- Would you like to donate? (Select one or both)
Surrey Food Bank$
Langley Hospital Foundation: $____________
Donation Total: $
3. CHEQUE TOTAL: $____________