GIFT CERTIFICATE
      FOR GOODS AND/OR SERVICES
     TO PAUPER PARTY OF ONTARIO



I DONATE to the Pauper Party of Ontario this $________ GIFT CERTIFICATE 
worth goods and services that may be redeemed with Pauper Party Bucks
for ____% of the total price. * Qualifier: ________________________

Print Business Name: _____________________________________Date: (yr/mo/da) ____ / ____ / ____

Address: _______________________________Town: ____________________Postcode: __________

Tel/fax: __________________________ Email: _____________________________________________

Website: ____________________________________________________________________________

Print Owner Name: __________________________________ Signature: __________________________

Print Sponsor Name: ____________________ Tel/Email? ______________________Certificate No.: ____

Attach sales slip made out to Pauper Party of Ontario and return to Chief Financial Officer at
50 Brant Ave. Brantford ON N3T 3G7 Tel/fax: 519-753-0645

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     TEMPORARY TAX CREDIT FROM
     THE PAUPER PARTY OF ONTARIO



The Pauper Party of Ontario acknowledges an Official Tax Credit at end of the year for
the donation of goods or services worth $______ from:

Print Business Name: _______________________________________Date: (yr/mo/da) ____ / ____ / ____

Address: ______________________________ Town: ______________________ Postcode: __________

Tel/fax: _______________________________ Email: _________________________________________

Website: ____________________________________________________________________________

Print Owner Name: _______________________ Signature: _____________________ Tax Credit No.:____

Sponsor Name: _____________________ Tel/Email? ______________________ Sign: ______________

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