Contact Information

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

Gift/Event Information

Event
  • Moulinette Island Picnic $25/person recommended
  • White Water Party $100/person recommended

*A tax receipt will be issued for the above events for the portion paid less the advantage

Donation Amount*
$

Payment Information

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

Security Code