Fundraise for the Easter Seals Telethon

Easter Seals Telethon Donation Form

     

Thank you for helping kids with phyisical disabilities succeed.

Please provide your contact and payment information. The electronic tax receipt will be sent to the e-mail address that you provide.

Easter Seals Ontario, collects your personal transaction information on this page and processes it using 128-bit encryption. If you have any questions please contact us.

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Contact Information

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Survey Questions


Birth Date (MM/DD/YY)


Business Phone Number (personal donations only)


Payment Information


* * Donation Amount:
* Processing Date:
installments
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Security Check
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