Please Fill This Form and Mail To Us With Your Donation (Note: Please Do Not Send Any Cash) ------------------------------------------------------- Name: ________________________________________________ Address: ______________________________________________ City: _____________ Province: _________________________ Postal Code: __________________________________________ Society of St. Vincent de Paul, St. Lawrence Conference 2210 Lawrence Ave East, Toronto, ON M1P 2P9

Telephone: (416) 759-9359 Facsimile: (416) 759-6725 Email: contact@helpthelessfortunate.org -------------------------------------------------------- Registered Charity Number: 13241 0671 RR0348