The Royal LePage Shelter Foundation is a national public foundation dedicated to supporting local shelters across Canada and provincial violence prevention programs.

Your donation will allow you to use the Royal LePage Shelter Foundation logo and sign rider in promotional materials during the year.

I am making a donation to the Royal LePage Shelter Foundation in support of:

local shelter:

50% 100%

provincial violence prevention program

50% 100%

$50.00 from each deal

$100 from each deal

$150 from each deal

$200 from each deal

Other amount $ from each deal.

One time donation of $

I understand and agree that I may cancel my commitment at any time by advising the office administrator and that I will cease all advertising associated with the Royal LePage Shelter Foundation.

Name*		Office*
Date*		Province*

Can we publicize your support?

Yes, I agree to have my name published.

No, I do not agree to have my name published.

Thank you for your support.