Thank you for supporting our medical humanitarian efforts in Nepal.
Team Broken Earth is a national volunteer-driven medical relief
network which provides humanitarian support in areas of need around
the world. Our goal is to change lives, educate others and build
capacity and partnerships in the areas we serve until we are no longer
needed. Your donation will help us do just that in Nepal – thank you.
Please enter the amount you would like to contribute and please
indicate if this is a one-time gift or a recurring gift.
With the recurring donation plan, you may choose the amount you feel
comfortable with. If at any time you want to stop, increase or
decrease the amount, just contact us at 709-749-7363, or email us at
email@example.com and we
will make the changes you would like.
We respect your privacy. This information will not be shared outside
A receipt for tax purposes will be issued using the name provided on
the credit card.
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 company
name as it appears on your company credit card – e.g. Sandra Smith,
In accordance with 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