Frost Wealth Management Charitable Giving Fund* Contribution Form
RequiredRequired Question(s)
Please enter the information indicated below.

First Name:
Last Name:
Address 1:
Address 2:
Postal Code:

Required 2.

Name of Charity: 


350 characters left.
Required 3.

Address of Charity: 


350 characters left.
Required 4.

Amount of Contribution (we will match amounts up to $50):


50 characters left.
Please submit this form by clicking on the "finish" button 
at the bottom of the page. 
The cheque payable to your favourite charity or a copy of your donation receipt must be received in the office by December 14th to ensure a tax receipt for this year.
Thank you for your donation

Frost Wealth Management
Unit 101, 30 Dupont Street East
Waterloo, Ontario N2J 2G9
HollisWealth®, a division of Industrial Alliance Securities Inc.
*The Charitable Giving Fund is wholly funded by Frost Wealth Management®