Follow these three steps to become a monthly donor of Solidarity Across Borders through automatic bank withdrawals. Don’t forget to include a note indicating which campaign you are donating to, if you have a preference.
1) Either copy the form below by hand (clearly, please!) or print it (click here to open as PDF). Then fill it out and sign it.
SIGNED BANK WITHDRAWAL STATEMENT
“I authorize a monthly deduction of $_______ from my bank or credit union, account number ____________________ to be withdrawn on the 1st ___ or 15th ___ of each month for deposit to Solidarité sans frontières.”
Signature: ___________________________________________________
Name: ______________________________________________________
Address: ____________________________________________________
City: ___________________________________
Province: _____ Postal Code: _____________
Phone number: ________________________
Email: _____________________________________________________
2) INCLUDE a cheque from the above-indicated account with the word “VOID” written across it:
3) Mail the signed bank withdrawal statement, voided cheque, and a note indicating which campaign you are donating to, if you have a preference, to:
Solidarity Across Borders
1500 de Maisonneuve Ouest, #204
Montreal, QC H3G 1N1