Christmas Donation 2024 - ʕaaḥuusʔatḥ

ʕaaḥuusʔatḥ

Christmas Donation Form

This form is only for those that haven't submitted their info via Email. If you sent your info by email, please do not fill out this form

* Indicates required field

Name *

First

Last

middle initial *

Status # *

Dependant 1 Name *

First

Last

middle initial *

Status # *

Dependant 2 Name *

First

Last

middle initial *

status # *

Dependant 3 Name *

First

Last

middle initial *

status # *

Dependant 4 Name *

First

Last

middle initial *

status # *

Email *

Address *

please indicate if someone else will be picking up your paper cheque *

upload void cheque or direct deposit form *

Max file size: 20MB

<--------- Attach void cheque here for direct deposit

Submit

Location

Ahousaht Core Values

Iisaakstalth – respect one another
Hahuupstalth – teach one another
Ya?akstalth – care for one another
Huupiitstalth – help one another
Heshook-ish Tsawalk – everything is one, everything is interconnected

info at ahousaht dot ca
250 670 9563
800 991 1433
fax: 250 670 9696

Mailing address: General Delivery,
Ahousaht BC, V0R 1A0