In Memoriam donation

Transaction
Deceased person
Do you want the family to be notified?
Contact information to the family to be notified

This information will only be used to process the transaction. They will be kept in strict confidence and will be followed closely to avoid any fraudulent or illegal activity

If you want to pay by cheque, please print the form and send it with your cheque payable to Breakfast Club of Canada to this address: 135-G de Mortagne Blvd, Boucherville QC J4B 6G4.

Organization's registration number: 
866073133 RR0001
Time remaining in your session: 20