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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
United States
Afghanistan
Africa
Andorra
Argentina
Australia
Austria
Bahamas
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Burkina Faso
Bolivia
Bosnia
Botswana
Brazil
British Isles
British Virgin Islan
Brunei
Bulgaria
Burundi
Cambodia
Cameroon
Cayman Islands
Central African Repu
Chile
China
Colombia
Congo Brazzaville
Costa Rica
Croatia
Cuba
Cyprus
Czechoslovakia
Denmark
Dominica
Dominican Republic
East Malaysia
Ecuador
Egypt
El Salvador
England
Ethiopia
Finland
France
Germany
Ghana
Great Britain
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Grenada
Guayana
Haiti
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Iceland
India
Indian Ocean
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Kazakhstan
Kenya
Kuwait
Latvia
Lebanon
Libya
Macau
Macedonia
Malawi
Malaysia
Mali
Mauritania
Mauritius
Mexico
Moldova
Morocco
Nepal
Netherlands
New Guinea & Papua
New Zealand
Nicaragua
Niger
Nigeria
Northern Ireland
Norway
Oman
Pakistan
Panama
Paraguay
Persian Gulf States
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Russia
Rwanda
Saudi Arabia
Scotland
Senegal
Singapore
Slovakia
South Africa
South Korea
South Sudan
Soviet Union (USSR)
Spain
Sri Lanka (formly Ce
St Lucia
Swaziland
Sweden
Switzerland
Taiwan
Tanzania, United Rep
Thailand
Trinidad & Tobago
Trinidad, W.I.
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
Upper Volta
Venezuela
Vietnam, North
Vietnam, Republic of
Virgin Islands
Wales
West Australia
West Indies
West Malaysia
Western Samoa
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Address lines:
*
City:
*
Province:
<Please Select>
--
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
MB
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
*
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
/
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
*
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.
*