FSNS–Donation Form

Donation Form

To submit your donation by mail,
please print this donation form and mail to:
Family Services of the North Shore
203-1111 Lonsdale Avenue
North Vancouver, BC V7M2H4

Are you:
an Individual Donor
a Corporate Donor
If corporate donor please state organization name:

$100 provides a senior with a personalized holiday gift basket.
$200 ensures a single parent and their child have groceries and essentials such as school supplies, a winter jacket, or waterproof boots.
$500 delivers a gift basket to a family of four, including children’s toys and presents for teenagers, a grocery gift card, books, warm hats and gloves, and necessities, such as toiletries and laundry soap.
Each additional $100 will help another child in need this holiday season

Share the joy of the season, and give with an open heart.

$.00

Is this:
a one time gift
A Monthly Giving Program (A consolidated tax receipt will be mailed each February.)

Is there anything else we need to know about your gift?

Please mail acknowledgement of this gift (for In Memory, In Honour or Special occasion gifts only) to:

Tax receipts will be issued according to CRA guidelines. Tax receipts are issued for gifts of $20.00 or more, a gift of $500.00 or more is recognized in our Annual Report.

I would like my gift to remain anonymous

I would like to receive periodic updates from Family Services of the North Shore.

Simple Spam Protection Question:

Please, only press the Submit button once or multiple transactions may occur.