Radio Amateurs of Canada
Donation Form

Fields marked with a  + are mandatory if you are paying with a credit card
CONTACT INFORMATION
Name:
 +
Call sign:

Address:
 +
City/Town:
 +
Province:
 +
Postal Code:
 +
Email:  
 +
Telephone #:
 +
DONATION OPTIONS
Donation to the RAC Foundation
 $
Donation to the Defence of Amateur Radio Fund
 $
Donation to the Youth Education Programme
 $
Donation to the Amateur Radio Emergency Service (ARES) Programme  $
Donation to Radio Amateurs of Canada  $
PAYMENT OPTIONS
Visa/MasterCard No.         + Card Expiry Date:  /  +
Name of person credit card is issued to:  +

You may optionally print and mail this form in to
RAC, 720 Belfast Rd, Suite 217, Ottawa, ON, K1G 0Z5
or phone toll-free 1-877-273-8304
between 10 am and 3 pm Monday to Friday


   

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