Donation Form

You are invited to complete the following donation form. Please choose whether you want to make a monthly or a single one-time pledge. A receipt for donations of $25.00 or more (yearly) will be issued for income tax purposes.

Personal Details:

First name: *

Last name: *

Street Address: *

City: *

Province: *

Postal Code: *

Country:

Phone (home): *

E-mail: *

* denotes required field

Single one-time pledge:

$25.00
$50.00
$75.00
$100.00
$200.00
$300.00
$500.00
$1000.00
$2000.00

Monthly pledge:

$10.00
$20.00
$25.00
$30.00
$40.00
$50.00
$100.00

Thank you for your generous support.