FR
Benefit Evening in support of Scleroderma Quebec

Transaction
$15,000.00 / unit
x
$
=
Subtotal: Total:
$
$10,000.00 / unit
x
$
=
Subtotal: Total:
$
$7,500.00 / unit
x
$
=
Subtotal: Total:
$
$6,000.00 / unit
x
$
=
Subtotal: Total:
$
$4,000.00 / unit
x
$
=
Subtotal: Total:
$
$2,500.00 / unit
x
$
=
Subtotal: Total:
$
$7,500.00 / unit
x
$
=
Subtotal: Total:
$

*For Corporate Tables, a receipt for the donation portion will be sent later.

$6,000.00 / unit
x
$
=
Subtotal: Total:
$

*For Corporate Tables, a receipt for the donation portion will be sent later.

Subtotal: Total:
$

**For donations, a tax receipt for the entire amount will be sent later.

Total:
$