CHUM Christmas Wish

Tribute Information

Honoree name

Message to Charity (Optional)

I would like to send a card

Select an E-Card

Select a card

Thank you

Thank you

Upload my own image

Choose File

Sender details

Sender name

Sender email

Recipient details

Recipient name

Recipient email

Card Message (Optional)

I would like to send the E-card on a future date

First Name

Last Name

Recipient address (line 1)

Recipient address (line 2) (Optional)

Country

Province

State

City

Postal Code

Phone Number

Email Addresss

Donor Information

Name

First Name

Last Name

Organization Name

Contact Information

Address 1

Address 2 (Optional)

Country

State/Province

State

State/Province

City

Postal/Zip Code

Phone Number (Optional)

Email Address

Your support matters to us, so CP24 CHUM Christmas Wish would like to use your information to keep in touch about things that may matter to you. If you choose to hear from CP24 CHUM Christmas Wish, we may contact you in the future about our ongoing efforts.

I allow CP24 CHUM Christmas Wish to contact me by email

I allow CP24 CHUM Christmas Wish to contact me by mail

I give CP24 CHUM Christmas Wish permission to contact me by phone

Survey Questions

* Do you consent to CP24 mentioning your Name, City, and Donation amount on-air during the Wish campaign to thank you for your support?

Yes
No

Payment Information

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

Your privacy is important to us, so CP24 CHUM Christmas Wish will keep your personal data secure and CP24 CHUM Christmas Wish 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

Donation Amount