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Donation
First Name
Last Name
Email
Phone
Address
City
Province
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Postal Code
Suggested Donation Amounts:
$25
$50
$100
$200
Other Amount
$25
$50
$100
$200
Other Amount
I would like a tax receipt (issued for donations of $20 or more)
Yes
No
List me as a donor:
Yes
No