Monthly Giving

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ONLINE DONATION FORM

Please select a gift amount, or enter a different amount in the contribution box below.

Frequency *

Contribution Amount *

Donor Information

If you would like to receive a tax receipt for your donation, please provide all the requested inforamtion. An automated e-tax receipt will be emailed to you for all donation of $15 or more.

NOTE: an official tax receipt will be issued under the cardholder's name. The Income Tax Act does not permit us to issue tax receipts to anyone other than the person or company whose name is on the credit card.

Email *

Email (Confirm) *

Title (Mr., Mrs., Ms., Dr.)

First Name *

Last Name *

Organization

Mailing Address *

City *

Country *

Province *

Postal Code *

Phone *

To return to the St.Amant Charity Golf Classic webpage, CLICK HERE.

Donation Designation

Please select Items/Equipment Fund if you would like to support the purchase of walkers and standers from the list below to direct your donation to.

Credit Card Information

Please type the cardholder name as it appears on the credit card.

NOTE: the e-tax receipt will automatically be issued to the cardholder.

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

Programs & Services

Monthly Giving

ONLINE DONATION FORM

Donor Information

Donation Designation

Credit Card Information