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Donation Form

     

Thank you for helping us 'Face Off' for Alzheimer's!

Make cheques payable to the 'Alzheimer Society of Alberta & Northwest Territories' and include the team and/or player name. Mail donations to: Suite 308, 14925-111 Avenue Edmonton, Alberta T5M 2P6. For security reasons, please do not send cash in the mail.

* denotes required information for a personal OR corporate donation




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Contact Information


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* I give the Alzheimer Society of Alberta and Northwest Territories permission to contact me directly.


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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    Did you know that by covering the processing fee, Alzheimer Society Alberta & NWT will be able to help more people?
    * Processing Date:
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