GVTA Memorial Donation Form

GVTA Memorial Donation Form
Donation Amount*

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CAD
Donor Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Honoree Name
I'd like to send a notification to a recipient through Canada post

Yes (please fill out recipient information below)No
Notification Recipient Name

First NameLast Name
Notification Recipient Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When you submit this form you will be taken to PayPal application screens. You can pay by credit card or PayPal account. (one does not need a PayPal account)
Should be Empty:

Donor Information