As a non-profit 501(c)(3) organization, Canary Garden relies on community support to fund its program. All donations are tax deductible. In-kind contributions are also welcome.

Print this form and fill it out. Send it with an enclosed check to the address below.

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Date: ________________________

Name: _______________________

I wish to make a gift of $______________ to Canary Garden.

Founders	Gift of $5,000 and more
Presidents	Gift of $1,000 - $4,999
Executives	Gift of $400 - $999
Directors	Gift of $100 - $399
Friends	Gift of $25 - $99

This donation is made in memory or honor of:

________________________________

Your name will be printed as a donor, unless you check here that you wish gift to be anonymous: ____

Contributions to Canary Garden are tax deductible as provided by law.

Canary Garden
P.O. Box 2133
Orem, Utah 84059-2133
(801) 361-8758
info@canarygarden.org