E-transfer Donation Form
After submitting this form you will be sent an email with instructions on completing your e-transfer. Please check your spam/junk folder if you haven't received an email.
Donation Amount
*
$25
$50
$75
$100
Other
Donation purpose / message to charity
*
For example who the donation is in memory of, or the name of a walker you are pledging
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
If you are interested in donating online, please use our
online donation form
.
Submit
Should be Empty: