Your Contact Information

Country*
Email*
Confirm Email*
Phone*

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

Your phone number will not be used for telemarketing purposes.

Recipient Contact Information

Please enter the recipient's mailing or email address below.  We will send the recipient(s) either a paper or e-card notification of the Gift of Compassion made in their name.  If you have a Personal Message for the recipient, you can enter that information in the next section below.

First and Last Name
Email address
Mailing address

Gift Information

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

Payment Information

Amount*
$
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.

Personal Message

Additional Comments
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