For Print 
YES! 


I WISH TO SUPPORT THE BROTHER COLIN SMITH ORGAN SCHOLARSHIP. 
NAME __________________________________________________________________ ADDRESS ______________________________________________________________ 
Yes, I would like to make a donation.  Please accept my pledge of: 
$50  $100  $250  $500  $1000  Other ($ ) 

My Cheque or Money Order to The Brother Colin Smith Organ Scholarship 
is enclosed OR Please charge my: 
Bankcard  Visa  Amex  Mastercard .


Card Number     
Expiry  
Name on Card___________________________________________________________ Signature_______________________________________________________________ 
PLEASE RETURN TO: CHRISTIAN BROTHERS, PRIVATE BOX 154, BALMAIN NSW 2041