Workplace Giving - SCOTIABANK PRO-AM FOR ALZHEIMER'S™

Workplace Giving

Personal Information

Donor First Name

Donor Last Name

Your Employer's Name

Address

Address Line 1

Address Line 2

City

Province

Zip Code

Country

Which Workplace Giving portal does your company use?

What event year are you donating to?

Total Pledged Amount (total amount you intend to donate to selected event year):

Is this donation a one-time, bi-weekly, monthly or other?

Is this donation part of a corporate match or workplace giving contribution?

Please select the statement that applies to you:

I am donating to a registered participant in this event.

I am a registered participant in this event and donating towards my own fundraising goal.

Full Name of the participant you are supporting

Participant's email address (same email they used to register for the event)

Are you supporting another participant?

Yes

2nd Participant's Full Name

2nd Participant's Email Address (same email they used to register for the event)

2nd Donation Amount

Are you supporting a 3rd Participant?

Yes

3rd Participant's Full Name

3rd Participant's Email Address (same email they used to register for the event)

3rd Donation Amount

Are you supporting a 4th Participant?

Yes

4th Participant's Full Name

4th Participant's Email Address (same email they used to register for the event)

4th Donation Amount