Contact Information

Confirm Email*

We will call you only if we have a question about your donation.

Your phone number will not be used for telemarketing purposes.

Gift Information

Donation Amount*
  • CAD $400
  • CAD $200
  • CAD $100
  • CAD $50
  • CAD $20
  • Other $

Payment Information

Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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