Street Reach Ministries of Ontario Inc.
# 4 Partridge Road
Timmins, Ontario
P4N8R8
Phone (705) 268-6012
email rockman@persona.ca
Donation Form
Name___________________________________
Address_________________________________
City/Town_______________________________
Postal Code______________________________
Phone#_(705)-____________________________

Amount of Donation______$________________

Would you like to receive updates on our food bank operations?
Yes____ No_____

Would you like to hold a food drive for our organization?
Yes____ No_____

Would you like your donation to be anonymous
Yes____ No_____

Direct deposits can also be made at our local bank branch.

Canadian Imperial Bank of Commerce
Pine & Third,PO Box 360,Timmins
acct#  092 00492 010  53 02536
Att: William Jones





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