2015 Sean Delaney Legacy Fund

Yes, I want to invest in the Sean Delaney Legacy Fund to help fund peanut/food allergy programs and research!

Please provide your contact and payment information. Your contact information is required to generate a tax receipt. The electronic tax receipt will be sent to the email address that you provide for donations $20 and over.

* Denotes required information.

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

Connecting to Facebook, please wait...

* First Name:
* Last Name:

Your Contact Information


	Home Work

Enter address manually
* Address:

* City/Town:
* Country:
* * * * Province/State:
* Postal/Zip Code:
* Phone Number:	( ) Ext.
Cell Phone Number:	( )
* Email Address:

Allow Food Allergy Canada to contact me by email.
I give Food Allergy Canada permission to contact me by mail (post).

Survey Questions

Message to charity:

Your 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:
* * Donation Amount:	$50 $100 $250 $15 can help ensure that families get product alerts all year round, which can prevent allergic reactions and save lives. $25 can help ensure that parents of a child with severe allergies have access to telephone support all year round. $50 can help people with severe allergies live safely by providing them with vital life-saving information packages about their allergies all year round. $100 can help ensure that youth living with risk of anaphylaxis have online access to life-saving information all year round. Enter Amount $ Help ensure that Anaphylaxis Canada will be here for those who need us with a gift of your choice. Enter Amount $
* 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:



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

Security Check

We have implemented an extra step in order to prevent Credit Card fraud. Unfortunately, some people use automated programs to test whether fraudulently obtained credit cards are valid. To counteract this practice we ask that you answer the question below.

Cookie Policy