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Transaction
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Personal information
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Payment
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Your Help Is Essential
Transaction
One-time gift
Recurring gift
General Gift
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Hospital Environment
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Oncology
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Autonomy of the Elderly
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Mental Health
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Rehabilitation
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Social Services
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Research
---
$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Please direct my gift to Youth
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$150.00
$125.00
$100.00
Other
Subtotal:
Total:
$
Total:
$
Where did you learn about this Campaign?
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Letter from The Gatineau Health Foundation
Facebook
Email from The Gatineau Health Foundation
Boarding
Gatineau Health Foundation Website
Other
Would you like information about gifts by Will?
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I am not interested
I am interested
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Organization's registration number:
10758 8477 RR0001
Time remaining in your session:
15