Donation Form

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Autism Calgary Association (ACA) is dedicated to providing support and information to parents or legal guardians of children with Autism Spectrum Disorders and a resource for interested professionals, educators and care givers. ACA is an incorporated non-profit organization that is operated on a voluntary basis by parents. The organization also has registered charity status. If you would like to make a donation to our organization please fill out the information below. Receipts for income tax will be issued for donations.. Registered Charity Number 141096701 RR0001.

Please find enclosed my VISA, MCD, cheque or cash for $______________________ (please note when using VISA or MCD we require your number, expiry date and name on card) payable to:

"Autism Calgary Association"

174, 3359 - 27th Street NE
Calgary, AB T1Y 5E4




Name: _________________________________




Street: _________________________________




City or Town: _________________________________




Province: _________________________________




Postal Code: _________________________________