TCASD Walk for Dads

TCASD Walk for Dads - Donation Form

Please provide your contact and payment information. The contact information is required to generate a tax receipt. The electronic tax receipt will be sent to the email address that you provide. All qualifying donations will receive an electronic tax receipt sent separately by email.

* Denotes required information.

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

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* First Name:
* Last Name:

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 Canadian Cancer Society to contact me by email.
I give Canadian Cancer Society 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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