Donate Now – TeamBrokenEarth

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Secure Donations

Thank-you for your generous support to Team Broken Earth. Your donation will be used to assist the humanitarian efforts in Bangladesh.

Donor Information

We respect your privacy . This information will not be shared outside our organization.

Email *

First Name *

Last Name *

Mailing Address *

City *

Country *

Prov. *

Postal Code *

Phone (Day)

Contribution Amount

Please enter the amount you would like to contribute.

Frequency *

Contribution Amount *

Payment Information

Please type the cardholder name exactly as it appears on your credit card. A tax receipt will be issued to the individual or company (for corporate gifts) named on the credit card ONLY. In the case of a corporate gift, please include your name and the company name as it appears on your company credit card- e.g. Sandra Smith, ABC Company.

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

In accordance with the Canada Revenue Agency guidelines, by making this gift I confirm that I am the true donor (i.e. this gift is being made by me and NOT on behalf of another person).

Team Broken Earth
PO Box 23004 RPO Churchill Sq.
St. John’s, NF
Canada A1B 4J9