Online Donation

Thank you for your support and generosity. After completing this form you will be taken to PayPal securely complete your donation. A PayPal account is not required for payments by credit card. Donation Receipts will be issued after year end for all cumulative donations above $25.

Donor information

Campaign*

First Name*

Middle Initial

Last Name*

Address*

City*

Province*

Country*

Postal Code*

Phone*

Email*

Comment

I will pay the PayPal processing fee (1.93%)?

No Yes

Donation Information

Donation type

Onetime Recurring

Frequency

Number occurrences

Select Amount

Payment method

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card type*

Card Holder Name*