One-Time Donation

One-Time Donation

Select one of our suggested donations or specify your own. Values are in CAD.

First Name *

Last Name *

Email *

Address Line 1

Address Line 2

Community of Residence *

Postal Code *

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Tell us why you're donating!

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Card

Pay Later

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip

Country

If you prefer to use PayPal, click here to submit payment, then check the box below and click "Pay Later" to complete this form.

I will mail in a check or money order

Please mail your payment to:
PO Box 27005 Fenwick
Halifax, NS B3H 4M8

Amount:

{{donationAmountStr}}/{{recurringUnitText}} CAD

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