Kinsmen Club of Brantford

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Yes, I want to be a "Life Friends" monthly donor. I authorize the Kinsmen Club of Brantford to deduct on the
1st or 15th of each month.

No, but I would like to make a "one time donation" . I authorize the Kinsmen Club of Brantford to deduct the following amount
One time only

$30.00 $20.00 $10.00 Other $

TAX DEDUCTIBLE Charitable Business Number: 11923 6750 RR 0001
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