Plaque Online Payment

110 King St., Oakville, ON L6J 1B1 905-844-2695
Plaque Online Payment Form
Plaque Online Payment Form
Name*

First NameMiddle NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number*

Area CodePhone Number
Plaque Payment*
Annual accumulated donations of $5.00 or more, will receive a charitable tax receipt in the new year. Revenue Canada requires an address.
Donation
Total
Total Due

prevnext( X )
CADDescription
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Version
Why

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Plaque Online Payment Form