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First name:
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*
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Address:
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Phone Number:
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François Blais, iA Auto and Home Insurance Inc.
Christian Fournier, La Capitale General Insurance
Michèle Dionne, Canadian Red Cross, Québec
Christine Dufour, Sinisco
Christian Goulet, Levio Consulting
Luc Jolicoeur, Cima +
Jean-Paul Lachapelle, Caisse Desjardins des Rivières de Québec
Valérie Lavoie, Desjardins General Insurance Group
Pascal Mathieu, Canadian Red Cross, Québec
Danielle Quirion, Gordon Food Service
Mylène Sabourin, La Forfaiterie
Does Not Apply
Enter Purchased Items Here
*
Gold Sponsorship
FULL
Limited quantity: 5
VIP Package:
500 $:
Other contribution:
Get visibility and 4 gourmet gift baskets for two people, wine and local gourmet products*
See Sponsorship Plan
Get 4 gourmet gift baskets for two people, wine and local gourmet products*
For each 500$, get 1 gourmet gift basket for two people*
8 000 $
5 000 $ or more
Amount: $ :
500 $
QTY:
Amount: $:
*Delivery in the greater Quebec City area or order for pick-up from Quarante 7 restaurant.
*Businesses outside of Quebec City can elect to have their gift basket transferred to an organization or person of their choosing.
Payment Method
How will you be paying?:
*
Please send me an invoice
I will pay by cheque
I will pay by bank transfer
For bank transfer information, please contact
giftofemergencyaction@redcross.ca
Please send your check to:
Marion Corderoch
Croix-Rouge canadienne, Québec
6, Place du commerce
Verdun (Québec) H3E 1P4
For information:
giftofemergencyaction@redcross.ca
or Marion Corderoch 1 514 362-2930 ext. 3622903
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