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DOFN Donation Form

Required fields are marked with *

Donation Type: *
Each Voucher is $25. Please enter the number of Vouchers you would like to purchase: *	Each Meal ticket is $1.50. Please enter the number of tickets you would like to purchase: *
The minimum amount for a Foundation Stone is $100. Please enter the amount you would like to donate ($): *	Please enter the amount you would like to donate ($): *
Please send a card to a recipient, indicating that I have made a donation on their behalf.	Do Not Send Card Birthday In Memory / Celebration Of In Honour Of

CONTACT INFORMATION

First name: *
Last name: *
Phone: *
Email: *
Address: *
City: *
Province: *
Postal Code: *
Memo or Notes for Donation:

50 words remaining

PAYMENT INFORMATION

Total amount donated:
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/