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Sunshine Coach Naming Form

"*" indicates required fields

Your Name / Organization:*

Email*

Recognition Name:*

I would like my donation to be recognized on a coach anywhere in BC:

Yes

No

1st Choice : Area of BC where name is to be placed on a Coach: (Choose One)

2nd Choice : Area of BC where name is to be placed on a Coach: (Choose One)

Would you like to receive a formal certificate recognizing your donation?

Yes

No

Variety – the Children’s Charity of BC
Registered Charity #108168709
4300 Still Creek Drive
Burnaby BC Canada V5C 6C6

604-320-0505 or 310-Kids(5437)

TOLL-FREE

1-800-381-2040

First Name

Last Name

Email

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