Easter Seals Ontario

Amount

Did you know that by covering the processing fee, Easter Seals Ontario will be able to help more people?

I'd like to cover the fee so 100% of my payment goes to the nonprofit ( %ProcessingFee% ).

First Name

Last Name

Organization Name

Address 1

Address 2 (Optional)

Country

State/Province

State

State/Province

City

Postal/Zip Code

Phone Number

Email Address (Optional)

Invoice Number

Additional comments or information:

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

If you have any questions about your invoice or using this form please contact us at armailbox@easterseals.org.