Gift Details

If you would like to cover the cost of the credit card processing fees, please add 3% to your donation.

Donation Amount*
$

Contact

Note: CRA requires a middle name or initial on tax receipts. 

Company
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Email*
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Tribute Information

Tribute Name
Notificant Name & Address

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.

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