Donation by Mail or Fax

Help make a difference in the lives of people worldwide with your tax-deductible gift to CNANW.
Print this form and send with a cheque or credit card information to:

[this is being updated; please contact us by email if you need immediate attention]


* Denotes Required Information

Yes, I would like to become a CNANW Donor. Please add me to the Donor’s mailing list of the Canadian Network to Abolish Nuclear Weapons.

My pledge:
Monthly Commitment A One-Time Gift

Please charge my credit card in the amount of:
$25  $50  $100 $250 $500 $1000 other $______

Name(s)* __________________________ Address* __________________________ City* __________________________ State/Province* _____________  Zip/Postal Code______________ Country* __________________________ Phone (______)___________________ Fax (______)___________________ E-mail ___________________________ Credit Card Type* Visa Mastercard Card Number* __________________ Expiration Date* ______/____________ I require tax receipt. (My contribution will be directed to the Canadian Network to Abolish Nuclear Weapons.)
Send any information package by regular mail.
I am enclosing a cheque. Please make cheque out to [being updated currently], and indicate that the donation is a contribution to CNANW.

Please contact us if you would like further information.
Thank you for your support.