New Child Web Sponsorship

Your sponsorship gift will provide a child the resources, encouragement, and support needed to break the barriers to education while giving a family the means to provide nutritious meals and better care for their children. As a sponsor, you can exchange letters and watch your sponsored child grow through annual updates and photographs.

Sponsorship Payment
In order to process your new sponsorship on a credit card, please fill in the form below with the name and address that is attached to that credit card, or call us at 1.800.776.6855. If you wish to process your sponsorship via cheque, e-transfer, or automatic withdrawal, we will be emailing you at the address you entered on the previous screen - you do not need to fill out this form.

Also, the contact information is required to generate a tax receipt. The electronic tax receipt will be sent to the email address that you provide. Call us if you have an issue printing the e-receipt & we can send you a paper copy.

* Denotes required information.

This sponsorship is for an individual or family
This sponsorship is on behalf of an organization, school, parish, business, etc. :

* First Name:
* Middle Initial:
* Last Name:

Contact Information


	Home Work

Enter address manually
* Address:

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

Allow Chalice to contact me by email.
I give Chalice permission to contact me by mail (post).

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:
* Processing Date:
* Number of Installments:
	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:

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