Yes, I'd like to donate

Donation Amount*
  • $20
  • $50
  • $100
  • Other $

Contact Information

This is a*
  • Personal Donation
  • Company Donation
Company Name
Confirm Email*

Is this Gift in honour or in Memory of Someone?

Who is your donation in honour/memory of?
Should we Send a Card/Email on your Behalf?
  • Yes, please send a card
  • Yes, please send an email
  • No thank you
Name of Person to Notify
Email Address of Person to Notify
Address of Person to Notify
City of Person to Notify
Province of Person to Notify
Postal Code of Person to Notify
Who would you like your email/card to be from?

Donation amounts are listed in Canadian Funds.

Payment Information

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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