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Transaction
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Personal information
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Payment
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Benefit Evening in support of Scleroderma Quebec
Transaction
Diamond Sponsor (COMPLET)
$15,000.00
/ unit
x
$
=
Subtotal:
Total:
$
Platinum Sponsor (COMPLET)
$10,000.00
/ unit
x
$
=
Subtotal:
Total:
$
Ruby Sponsor (COMPLET)
$7,500.00
/ unit
x
$
=
Subtotal:
Total:
$
Gold Sponsorship including 8 balcony tickets
$6,000.00
/ unit
x
$
=
Subtotal:
Total:
$
Silver Sponsorship including 4 balcony tickets
$4,000.00
/ unit
x
$
=
Subtotal:
Total:
$
Bronze Sponsorship including 2 balcony tickets
$2,500.00
/ unit
x
$
=
Subtotal:
Total:
$
Achat de billets au balcon ***
$550.00
/ unit
x
$
=
Subtotal:
Total:
$
I wish to add a donation ***
Subtotal:
Total:
$
***For donations, a tax receipt for the entire amount will be sent later.
Total:
$
Next
Organization's registration number:
89808 9693 RR0001
Time remaining in your session:
20
Time remaining in your session:
20