Giant Steps Raffle donation form

Thank you for making a donation in support of our Raffle for Kids with Autism!

 

Tax receipts will be provided for donations of $20 or more.

Gift Information

Donation Amount*
  • $25
  • $50
  • $100
  • $250
  • Other $

Donor & Tax Receipt Information

FOR TAX RECEIPT - If it is to be made out to a company rather than an individual, please indicate the company name here:

Company
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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