Dystonia Medical Research Foundation (DMRF) Canada 

Charity BN: 126616598RR0001

The DMRF Canada serves to advance dystonia research for more effective treatments and ultimately a cure; to promote awareness and education; and, to support all dystonia-affected individuals and their families.

 

 

 

Donation Form 

 

Donation Amount*
$

 

 

This donation is made towards the Sudbury Walk and Wheel for dystonia in honour of:

First Name
Last Name

Your charitable tax receipt will be automatically emailed to you upon receipt of your gift

 

A gift notification message will be sent to the person or family to acknowledge your thoughtful gift. Please include the following gift notification details to help us send the acknowledgement.

Name, Email/Mailing Address, and Message

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Donor Information

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Email*
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Your privacy is very important to us. The DMRF Canada is committed to protecting the privacy of all of our supporters and stakeholders. We may maintain a record of your interaction for donor-related promotion and tax receipting purposes, when required. Please read more on our privacy policy at www.dystoniacanada.org/privacypolicy. By clicking submit you agree to have read and acknowledged our privacy policy and provide your consent to collect and store your information

Anonymous Donation

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If you are not comfortable using a different browser, you can make a donation via our Canada Helps platform by clicking here.

 

Our sincerest apologies for the inconvenience. 

 

Credit Card Information

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$
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