I would like to donate for the following tour activities:
| $__________ National Tour Expenses |
| $__________ Local Tour Expenses for the following location ____________________ |
| $__________ Wherever Needed |
Method of Payment:
| _____ By Cheque, payable to "Vipassana Foundation" (enclosed) |
| _____ By Visa Number:______________________ Expires:__________ |
_____ Please send me a receipt
The Vipassana Foundation is a registered charitable organization. |
Mailing Address for Receipt:
| Name: |
________________________________________ |
| Address: |
______________________________________________________________ |
| City: |
_______________________ |
Postal Code: |
____________________ |
| E-mail: |
_______________________ |
Phone: |
____________________ |
Please send donation to:
Vipassana Foundation Treasurer
24 Hawkwood Cr. N.W.
Calgary, Alberta, T3G 1X5
[1](403) 239-9288
jaasland@cybersurf.net
