Donate In Memoriam

via Credit card

Make a donation in memory of a loved one.

Help with the fees

Online payment fees

Our online payment processor charges a fee for each transaction. By choosing to include the Credit Card processing fee, you are contributing a little more to help cover the costs of fundraising.

Who is this donation in memory of?*
Donation Amount*
- $25
- $50
- $100
- Other
Other Amount*
Please enter a number greater than or equal to 5.
Other Amount*
Price: $ 0.00 CAD
Include the Credit Card processing fee?*
- Yes
- No
Fees
Price: $ 0.00 CAD
Fees
Price: $ 0.00 CAD
Total
This is the total amount receipted (where applicable)
$ 0.00 CAD

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Communication Preferences*
- Subscribe me to mailing list
- Subscribe me to email list
- Don't subscribe me to any lists

Credit Card*
Please enter your credit card number, expiry (MM/YY), and CVC (found on the back of your card).

Card Details

Cardholder Name
Verification
Comments
This field is for validation purposes and should be left unchanged.

Donate In Memoriam

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