Basketball Camp Registration Template

Club Sponsor / Donation Online

westkhoops.ca
Please Donate

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt for all donations of $20 or greater which will be sent to the email address that you provide.
Donor Information
Select Your Donation Type*
Donor Information*
Is this Donation in Honour or Memory of an Individual?
Tribute Information
Honoree Name
Message to Charity (Optional)
I would like to send an E-card or have Westkhoops send a Print Card on my behalf
Donor Contact Information - Personal or Business
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Home Number
Cell Number*
E-mail*
example@example.com
I allow Westkhoops to contact me by email?
Survey Question
Would you like to direct your donation to a particular item (s) or service (s)?*
Confirmation

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
E-Signature*

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Terms and Conditions*
Please enter your Donation amount (min $20) qualifies for Tax Receipt*

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Club Sponsor / Donation Online