2012 hillhurst digital universe campaign HELP HIBOU ENTER A NEW CENTURY AND NEW (DIGITAL) WORLD MY CONTACT INFORMATION FIRST NAME INITIAL(S) LAST NAME HOME ADDRESS CITY/PROV POSTAL CODE W. PH H. PH C. PH E-MAIL HOW WOULD YOU LIKE TO RECEIVE YOUR TAX RECEIPT? MAIL E-MAIL MY ELDEST CHILD’S INFORMATION FIRST NAME LAST NAME BE A HILLHURST HIBOU LEADERSHIP GIVING How much does it really cost & how much will Hillhurst Kids benefit? YOUR DONATION $500 $1,000 $2,500 $2,500 $500 $1,000 CIP MATCHING GRANT $1,000 $2,000 $5,000 HILLHURST KIDS BENEFIT* $2,000 $4,000 $10,000 $250 $500 $1,250 COMPANY MATCHING Give $500 or more TEACHER YOUR ACTUAL COST** A donation of $500 or more distinguishes you as a Hillhurst Hibou Leader (Hibou Helper $500-999, Hibou Hero $1,000-2,499, Honourary Hibou $2,500+). May we recognize your generous donation on our school council website? Yes No, I wish to remain anonymous If yes, please print name(s) as you would like it to appear (eg. John and Jane Doe, The Doe Family, etc.) * Based on receiving full company matching and full CIP matching grant ** Actual cost after tax credit. Tax savings can be further enhanced by donating investments. DECIDE HOW TO DONATE CASH OR CHEQUE (preferred method of payment) Total amount of gift: CASH (please attach to this form) CREDIT CARD $ CHEQUE (payable to Hillhurst (Elementary) Community School Society - please attach to this form) Please go our website at www.hillhurstschoolcouncil.com to donate via PayPal GIFT OF SECURITIES (valued at $1,000 or greater). If you wish to donate publicly traded securities, please contact Mark Boulay, Investment Advisor, BMO Nesbitt Burns at (403) 750-0832 or mark.boulay@nbpcd.com. 4 IS MY DONATION ELIGIBLE FOR COMPANY MATCHING? Employer Name: Yes, my company matches Charitable Donations & I will submit application to my employer. Yes, my company matches Charitable Donations but I need help with application. I do not know if my company matches Charitable Donations. Please find out and let me know. I am not eligible for any company matching programs. Tax receipts are issued by Feb 28, 2013 for donations of $25 or more. Hillhurst (Elementary) School Society 1418 7 Ave NW Calgary AB T2N 0Z2 www.hillhurstschoolcouncil.com Registered Charitable Organization Business Number 82850 5503 RR0001