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Breaker Robotics

5011 Granville Avenue


Richmond, British Columbia
V7C1E6

Phone: (604) 668-6478


Email: breakerrobotics@outlook.com
https://breaker-robotics.weebly.com/

Breaker Robotics Sponsorship & Donation Form


I would like to make a one-time donation

I would like to make a pledge of $ for years

Your Information
First Name Last Name Organization Name
Select One

Mailing Address City

Province/State Postal/Zip Code Country

Email Address Telephone Number Fax Number(optional)

Amount of Donation in Canadian Dollars:

Please choose one of three options to make your donation

Cheque Please make cheque payable to J. N. Burnett Secondary School - Robotics

Online Please check our website for the instruction

In-Person (Cash/Cheque | Please see Ms. Trouw at the office)

In-kind donations (Please contact us via email or phone)

Description of In-kind donation

Please Return This form By Mail 5011 Granville Avenue Richmond


British Columbia, Canada V7C 1E6
By Fax 604-668-6484 By Email breakerrobotics@outlook.com

Registered Charity
# 107961302 RR 0002

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