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Donation Information
Gift Amount (CAD):
$
*
Designation:
Other Designation
Other
Other
*
Additional Information
NOTE: If you selected “Other” as the Fund Designation, please enter the name of the fund in the Comment Box below. If you are giving to multiple funds, please also include the breakdown of your gift to each fund named - for example, Opportunity Fund $25; General Scholarships $10; Area of Greatest Need $15
Frequency:
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Corporate:
This donation is on behalf of a company
Anonymous:
I prefer to make this donation anonymously
Comments:
Billing Information
Please ensure your billing address matches the address connected to your credit card. If you are making a donation from outside Canada or the U.S., please select "--" as the province.
Title:
Mr.
Ms
Mrs.
Dr.
First name:
*
Last name:
*
Country:
Canada
USA
British Isles
Chile
China
Colombia
Cuba
England
France
Great Britain
Greece
Hong Kong
Mexico
Netherlands
Serbia (Latin)
Singapore
United Kingdom
Wales
*
Address lines:
*
City:
*
Province:
<Please Select>
MB
--
AA
AE
AL
AK
AB
AS
AP
AZ
AR
BC
CA
CZ
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NL
NC
ND
MP
NT
NS
NU
OH
OK
ON
OR
PW
PA
PE
PR
QC
QLD
RI
SK
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
YT
VIC
Mad
*
Postal Code:
*
Phone:
Email:
*
Payment Information
Tax receipts will be issued in the name of the credit cardholder, unless business information has been provided.
Cardholder's Name:
*
Credit Card Number:
*
Card Type:
Visa
American Express
MasterCard
*
Card Expiry:
01
02
03
04
05
06
07
08
09
10
11
12
/
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
*
Card Security Code:
*
Matching Gifts
My company will match my gift
Company:
*
Tribute Information
Tribute Information: If your gift is in honour or memory of someone, please indicate their name below.
Name:
*
First name:
Last name:
*
Type:
In Honor of
In Memory of
*
Comments:
*
Check the box to provide the name and mailing address where you want the tribute card mailed. If you are unaware of the recipient’s address, please keep the box unchecked and we will do our best to locate them.
*