PLEASE DONATE C-Quest needs your help to save a life in Mexico Yes, I want to help:

HealthQuest (clean water, sanitation, environmental, nutrition and medical projects) HomeQuest (home and shelter construction and repair projects) HopeQuest (soup kitchens, educational programs, small business mentoring, at-risk youth programs) HeartQuest (missions staff and program support, and base projects for housing short term teams) Please specify missionary family name if desired: Please allow my donation to be used where it makes the biggest impact.

Donor Information:
Name: Address: City: Phone: Province: Email: Postal Code:

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Donation Amount:
$50 $100 $250 $500 $1000 Other $_________

Recurring Donation Amount:

Monthly $___________ Quarterly $___________ Annually $___________
(Donations of $50 or more will receive a tax receipt. Please see page two for recurring donation options.)

Method of Payment:
Cheque: (payable to C-Quest) Mastercard Visa Amex

Card Number:___________/___________/__________/__________ Expiry Date: ______/______ CVV:________ Name on Card:____________________________________________________ Address (on file with credit card company)________________________________________________________ City:_____________________________________ Province: _____________________ Postal Code:______________ Signature:_________________________________________________ Date:___________________________

Muchas gracias por su generosidad!

PLEASE DONATE C-Quest needs your help to save a life in Mexico

Recurring Donation Options A recurring donation helps to sustain the organization with a lasting impact.
Option 1: Send post-dated cheques made out to C-Quest. Option 2: Pay by credit card by filling out the card information on page 1 and designating a recurring donation amount. Option 3: Donate from your bank account by including a void cheque and sign the following authorization: II/We request The Great Commission Foundation (on behalf of C-Quest) to arrange for funds to be debited on the 15th day of the first month of the recurring schedule elected on Page 1 of this form, until further notice, from my/our nominated account at my financial institution. Signature Date

Please return this completed form to: C-Quest c/o The Great Commission Foundation #3 T/C Plaza 1335 Trans Canada Way SE Medicine Hat, Alberta, Canada T1B 1J1
Alternatively, please scan and email this form to dcuthill@c-quest.net Tax receipts will be issued The Great Commission Foundation (BN: 859928483RR0001) For more information please contact Darcy Cuthill at 403.512.4123

Muchas gracias por su generosidad!