Pledge Form

We are all looking a little shaggy these days, with hair salons and barber shops closed due to COVID-19. This lead to the idea of the Mayor's "COVID Cut" Challenge.

Mayor Aina DeViet is challenge to Middlesex Centre is this:

If as a community we raise $5,000 in donations for the Ailsa Craig and Area Food Bank by Mother's Day, she'll let her husband cut her hair. And not just a little bit, but short, almost shaved, shearing!

Assuming Middlesex Centre comes through, Aina will share her before and after looks with you all on Mother's Day.

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* 1. What is your name?
We will only use this information for purposes of this fundraising initiative. Your information will not be used or shared without your consent.

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* 2. What is the value of your donation?
For donations of food and supplies, please estimate the value of your contribution.

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* 3. How do you plan to make your donation?

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* 4. Have you already made your donation?

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* 5. Would you, your family or business like to be recognized as a donor to this fundraising event OR would you like to have your donation made in recognition of another?

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* 6. Please list my donation as follows:

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* 7. May we send you email updates about this fundraising event?

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* 8. Please share any thoughts or comments you have below:

A Few Notes:

If you haven't already given, please indicate that your donation is part of the Middlesex Centre Mayor's Challenge by marking "Middlesex Centre":
  • on the bags/boxes of your donations of food or supplies (click here for a list of drop-off locations in Middlesex Centre)
  • in the notes/directed giving section should you be donating through Canada Helps or PayPal
  • in the memo line if giving by cheque
Tax receipts, if applicable, will be issued by the Ailsa Craig & Area Food Bank following their policies and guidelines.

About the Donor Thank-you List:
  • The donor list will be posted on the municipal website.
  • The donor list will be updated weekly until May 31, 2020, and will be taken down on or about August 31, 2020.
  • The value of your gift will not be included in the donor list.
  • We reserve the right to exclude donation acknowledgements that are rude or distasteful, so don't do that.
Thank-you for your donation!
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