Camp to Camp - Make Your Move in Support of Easter Seals Ontario

Sponsor Rotary Club of Windsor 1918

Thank you for your generous support.

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.

* denotes required information

Make a personal donation:
Make your donation on behalf of an organization:

Connecting to Facebook, please wait...

* First Name:
* Last Name:

* Organization:

Contact Information


	Home Work

Enter address manually
* Address:

* City/Town:
* Country:
* * * Province/State:
* Postal/Zip Code:
* Phone Number:	( ) Ext.
* Email Address:
Your support matters to us, so Easter Seals Ontario would like to use your information to keep in touch about things that may matter to you. If you choose to hear from Easter Seals Ontario, we may contact you in the future about our ongoing efforts.
Allow Easter Seals Ontario to contact me by email.
I give Easter Seals Ontario permission to contact me by mail (post).
I give Easter Seals Ontario permission to contact me by phone
Display my name on the donor listing. Display Name
Display my donation amount on the donor listing.

Payment Information

Pay using Credit Card
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
* * Donation Amount:
Did you know that by covering the processing fee, Easter Seals Ontario will be able to help more people?
I want to cover the fees for my donation ( %ProcessingFee% ).
For monthly donations, this fee will be added to each future installment contribution.

* Processing Date:
	installments
Pay using PayPal
* Credit Card Type:
* Credit Card Number:
* Card Security Number:	Where is my Card Security Number?
* Cardholder's Name:
* Credit Card Expiration:
Card Valid From
Issue Number

* Bank Name:
* Bank ID:
* Cheque Number:
* Transit number:
* Account Number:

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Your privacy is important to us, so Easter Seals Ontario will keep your personal data secure and Easter Seals Ontario will not use it for marketing communications which you have not agreed to receive. At any time, you may withdraw consent by emailing or by contacting our Privacy Officer. Please see our Privacy Policy