Donate-Disaster Relief

Make a real difference in someone's life today!
Donations placed in the Disaster Relief Fund will help families and communities rebuild in the aftermath of natural disasters such as hurricanes, floods, or fires. Donations may also be used to provide water in the midst of a drought, or to provide extended medical care to a child in need of life-saving surgery.
Please note that when donations exceed the request, Chalice will redirect funds to similar activities to help children and families in need.

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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Make a personal donation:
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* First Name:
* Middle Initial:
* Last Name:

Contact Information


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* Address:

* City/Town:
* Country:
* * * * Province/State:
* Postal/Zip Code:
Phone Number:	( ) Ext.
Chalice Supporter ID (if you have one):
* Email Address:

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* Please indicate how you would like your gift to be used. Donations to the Disaster Relief General Fund will be used to support the most urgent need.

Disaster Relief - General Fund

Don't want to send an E-card? You can have a traditional card sent through the mail to a friend or loved one. Use the drop down menu below.

Payment Information

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One Time Payment Credit Card

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* * Donation Amount:

* Processing Date:

* Number of Installments:

installments

* Credit Card Type:

* Credit Card Number:

* Cardholder's Name:

* Credit Card Expiration:

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