Electronic Donation Form

Donation will be allocated in accordance with the purpose stated on the form below.

A minimum donation of $20.00 is required to receive a donation receipt. An Official Donation Receipt for Income Tax Purposes will be issued within 7 business days from the donation date. The Official Donation Receipt will be issued electronically or by mail to the addresses provided on this form.

Name of Donor *

First

Last

Mailing Address of Donor *

Address Line 1

Address Line 2

City

OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Phone Number of Donor *

Email of Donor *

Purpose of Donation *–Economic Development Market – Electronic Sign Replacement Donation

Donation Amount *

Minimum Price: $20.00

Total

$0.00

Credit Card *

Card

Name on Card

Submit