Dancing with Easter Seals Stars Tickets

Items

Did you know that by covering the processing fee, Easter Seals Ontario will be able to help more people?

I'd like to cover the fee so 100% of my donation goes to the nonprofit ( %ProcessingFee% ).

First Name

Last Name

Organization Name

Address 1

Address 2 (Optional)

Country

State/Province

State

State/Province

City

Postal/Zip Code

Phone Number

Email Address (Optional)

The maximum length allowed in the answer textbox is 1000 characters.

What is your date of birth?

Please let us know which dancer are you coming out to support:

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

Do you need help making your donation? Find assistance here.

If you have any questions about your invoice or using this form please contact us at info@easterseals.org.