Donation Form

Your Name (*)
Please let us know your name.
Phone Number (*)
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Employer
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Occupation
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Your Email (*)
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Would you like to join our mailing list?
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Do you agree to allow your name to be published?
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Address:
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Address 2: (optional)
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Province/State:
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Country:
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Donation Amount:(*)
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Does your Employer match donations?
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Do you wish to donate in honor or memory of someone ?
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If this is a tribute, please fill out the following:
Honoree's Name:
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Do you wish to send an acknowledgement email?
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Honoree's Name:
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Honoree's Email
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If you prefer Postage to Email:
Address:
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Country:
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Postal / Zip Code
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Donations are also accepted for The Gerdine Graham Foundation Inc. at:

RBC ACCT# 100 566 9 Royal Bank of Canada
600 Queens Plate Drive Etobicoke, Ontario, M9W 0A4
Phone: 416-679-1660