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Amount
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5
10
25
50
100
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1000
Other
Other amount
The max donation allowed by law is $1600 per year.
I want to contribute this amount
every month.
Your recurring contribution will be processed automatically. You will receive an email receipt for each recurring contribution.
Personal Information
First Name
*
Last Name
*
Email
*
Street Address
*
City
*
Postal Code
*
Phone
Cell
Credit Card Information
Card Type
- select -
Visa
MasterCard
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Card Number
*
Security Code
*
Expiration Date
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Feb
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Oct
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-year-
2019
2020
2021
2022
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2025
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2027
2028
2029
My billing address is the same as above
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
Canada
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Portugal
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United Kingdom
United States
State/Province
*
- none -
Alberta
British Columbia
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New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Yukon Territory
Postal Code
*
I certify this contribution made by me is from my own personal funds and I will not be reimbursed for it from any other source.
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Your Contribution:
Tax Credit: $
Note: Contributions must be made by residents of Ontario only.
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