Type of donor
Personal
Corporate
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Pledge Form
Pledge Form
Pledge Form
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Type of donor
Personal
Corporate
The fields with
(*)
are required.
Personal information
Country
---
Canada
France
United-States
*Specify
*Title
---
The Honourable
H.E.
Dr.
Ms.
Mr.
...
mrs.
*First name
*Last name
Job title
*Company
*Email
*Email confirmation
*Home
*Office
Extension
*Cellular
Transaction information
Type of transaction
One-time gift
Pledge
Gift type
Online
*Online
$
*Payment method
Credit Card
Cheque
Comments
500
characters left
I woudl like a tax receipt.
Organization's registration number: 82805 9857 RR0001
Confidentiality
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