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Secure Donation - Rape Victims Support Network

Thank you for your support to the Rape Victims Support Network, an outreach of the Christian Advocacy Society. Your donation helps enable us to provide free peer counselling services and practical help to those who are sexually assaulted.

Contribution Amount

Please indicate the amount of your donation:

Frequency *

Contribution Amount *

Our board of directors may redirect donor-designated gifts to areas where most needed if the original designated purpose is completed, fully-funded or otherwise unavailable.

In Tribute

A tribute donation is a meaningful way to recognize a special occasion, or to remember the passing of a loved one. If you would like to dedicate your donation, please select one of the following:

In Honour

In Memory

Personal Information

Please provide all of the required information so that we may issue you an income tax receipt. We respect your privacy. This information will not be shared with other organizations.

Email: *

Email (Confirm): *

Title [Mr.Mrs.Ms.Dr.]:

First Name: *

Last Name: *

Mailing Address: *

City: *

Country: *

Province: *

Postal Code: *

Phone (Day): *

Phone (Cell):

Credit Card Information

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

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

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Quarterly Newsletter
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