Thank you for helping today and giving hope for tomorrow

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt which will
be sent to the email address that you provide. You may choose to make a one-time donation or a monthly gift. Monthly gift supporters are issued 
a single yearly tax receipt that combines all donations for the entire year.

Donor's Contact Information

Matching Gift

Your employer may match your gift. Enter your employer name below to see if your company offers matching gift.

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Yes, %searchValue% is match eligible. %count% matching gift company(ies) were returned under that name in the Gift Plus matching gift database.

1. %companyName%

Company:

Subsidiary Of:

Foundation #:

Last Updated:

Contact:

Phone:

E-mail:

Matching Gift Form URL:

Matching Gift Guidelines URL:

Minimum Amount Matched:

Maximum Amount Matched:

Total Per Employee:

Gift Ratio:

Comments:

Procedure:

If this is your employer, click on the button below

My Employer

Payment Information

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false

false

Card Security Number is not supported in data entry. To process a credit card payment, you need to disable Card Security from the Electronic Payment page in the Configuration tab.
Payment Method:	One Time Payment Credit Card Monthly Payments Credit Card
* * Donation Amount: $	$50.00 $100.00 $250.00 $500.00 Other
* Processing Date:
* Number of Installments:	Until Cancelled Other
	installments
Pay using Credit Card
Pay using PayPal
* Credit Card Type:	American Express MasterCard Visa
* Credit Card Number:
* Card Security Number:	Where is my Card Security Number? y
* Cardholder's Name:
* Credit Card Expiration:	Please Select One 01 02 03 04 05 06 07 08 09 10 11 12 Please Select One 18 19 20 21 22 23 24 25 26 27 28
	01 02 03 04 05 06 07 08 09 10 11 12
* Bank Name:
* Bank ID:
* Cheque Number:
* Transit number:
* Account Number: