Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
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Email
*
example@example.com
Phone Number
*
-
Area Code
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Where needed most
Bursary Fund
HVAC Capital Project
Fundraising Banquet
Mission Trip
Year End Appeal
Concert Offering
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*
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next
( X )
(
$
50.00
CAD
for each
month
)
(
$
100.00
CAD
for each
month
)
(
$
250.00
CAD
for each
month
)
(
$
500.00
CAD
for each
month
)
(
$
1,000.00
CAD
for each
month
)
Total
$
0.00
CAD
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