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*Donation Amount ($CAD):
Required fields marked with *
Donation Designation:
          Please read the regulations governing designated donations here.
         General fund ............................................. Amount:  
         Missional Engagement DVD Project .......... Amount:  
         Counselling Subsidy ................................... Amount:  
         Other: ..... Amount:  
*First Name:
*Last Name: 
                     
*Address: (your tax-deductible receipt will be mailed to you after year-end)
  
*City:
*Province:
*Postal Code:
*Country:
*Phone:

*Email:     Your transaction receipt will be emailed to you. 
                  This is not an official tax-deductible receipt.
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      If you have technical difficulties with the next page please email the national office with a description of the problem so that we can work to resolve it.

If you get a message that your card has been declined even before you have a chance to enter your card number, please check to make sure that the Total field is filled out in this format: 10.00
 

 
















   
 

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P.O. Box 88039 RPO Levi Creek, Mississauga, ON L5N 8M1   Telephone: 416-318-7163

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