Donations

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Thank you for your support

Please provide your contact and payment information. The contact information is required to generate a tax receipt. The electronic tax receipt will be sent to the email address that you provide.

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Contact Information


	Home Work
* Address:

* City/Town:
* Country:
* * * * Province/State:
* Postal/Zip Code:
Phone Number:	( ) Ext.
Cell Phone Number:	( )
* Email Address:
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I give Special Olympics Nova Scotia permission to contact me by mail (post).

Survey Questions

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Payment Information

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* * Donation Amount:
* Processing Date:
	installments
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* Card Security Number:	Where is my Card Security Number?
* Cardholder's Name:
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