Number of Installments is required
Number of Installments must be between 1 and 999
Donor Information
Name
Contact Information
Please select a Province
Please select a State
Please select a State
State/Province is missing
Purpose of Gift
The maximum length allowed in the answer textbox is 1000 characters.
* What is the intended purpose of this gift?
Would you like to make this an annual gift?
If you have more than one sponsored friend and want to divide this gift, please provide details here.
Please provide your Supporter ID number if you know it.
Payment Information
Please select the Credit Card Expiry Month
Please select the Credit Card Expiry Year
Credit Card Valid Fom Date is incorrect - both Valid From Month and Valid From Year must be selected or none selected
By continuing, you acknowledge that your credit card will be charged on a recurring basis for the duration outlined or until cancelled.
Your privacy is important to us, so Chalice will keep your personal data secure and Chalice will not use it for marketing communications which you have not agreed to receive. At any time, you may withdraw consent by emailing or by contacting our Privacy Officer. Please see our
Privacy Policy