VPA “HERRMANN HOUSE” 
(Registration/Washroom Building)

Project Donation Pledge Form    

Download printable version here   

Type 1: Cash Donation

Name ________________________________________________      

Amount _______________________________________________

Name (s) to use in all recognition ________________________________________________

I prefer to remain anonymous     (indicate “Yes” if applicable)   ______________

Donation pledges are conditional and based on the following;

1) City approval is given to build on the intended site
2) A charitable tax receipt process is put in place for donations > $100

Once these conditions are met, pledged funds will be requested (target October 2022)

 

Type 2: $2,000 minimum (per person) Playing Credits Purchase (maximum 75 members) 

Name ______________________________________ 

 

Type 3: Debenture Donation/Purchase 

Name ______________________________________ 

Number of Debentures willing to donate ___________ 

Number of $2500 Debentures willing to buy ___________ 

Note: Debentures pay 3% interest each August and will be redeemed within 10 years

 

 

Please email completed form to mshocevar@shaw.ca