Gift Commitment form

Gift Information

I/We are pleased to support the Hellenic Home for the Aged with a gift of $

My gift will be:

Installments of $ beginning on will be made:

over a period of


I/We would like the gift designated to:

This gift is in: honour of Name of Honouree :
Address/Postal Code/Phone Number (of honouree)
Name of Deceased:
Name/Address/Postal Code/Phone Number (to send condolence card)

A letter of thanks along with an official receipt for Income Tax purposes will be sent to you

Payment Options

I/We prefer to make our donation by:

Donor Information

Mail pledge reminders and/or official receipts to:

In all Donor Recognition associated with this gift, please list the Donor as:

To mail or fax this form, send to:
Patty Agrapidis,
Special Events & Annual Giving Coordinator
33 Winona Drive, Toronto, ON M6G 3Z7
Phone (416) 654-7700 ext. 2228 Fax (416) 654-0943

Thank you for your thoughtful donation. Your support will enable Hellenic Home for the Aged Inc. to continue to provide exceptional care and services to our seniors.

Charitable Business Number: 107476053 RR0001