Virtual Pledge Form

Donor Information Form

Thank you for your donation. Please fill out this form to receive your tax receipt. Your tax receipt will be provided to you in February.

First Name

Last Name

Email *

Phone

Address

Amount

Date

Cause Cause

Please provide the last 4 digits of your credit card number if donating by credit/debit. We ask for the last 4 digits of the card you made your donation with so we could match it to the information you are providing in order to send you a tax receipt. Please note: if you used Apple Pay, Google or Samsung pay, to please provide the last 4 digits corresponding to this. Please put N/A if donating by cash or cheque.

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Virtual Pledge Form

Donor Information Form

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