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World AIDS Day Gala 2019 Registration

Donation Amount:

$ 125.00

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Name	Allergies	Dietary Restrictions	Actions

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Donation Total: $125.00

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Solar Powered Lanterns

$ Donation Amount:

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Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

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Zip / Postal Code *

Donation Total: $20.00

Women to Women Registration

Donation Amount:

$ 10.00

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PayPal

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

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Billing Details

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Address 1 *

Address 2

City *

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Donation Total: $10.00

Gifts of Hope – Support Foster Mothers

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $25.00

Gifts of Hope – Support a Foster Mother for a year

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Make this donation monthly

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $20.00 Monthly

Gifts of Hope – Support the Breakfast Program

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $25.00

Gifts of Hope – Provide breakfast for a full year

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Make this donation monthly

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $20.00 Monthly

Gifts of Hope – Chickens

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $20.00

Gifts of Hope – Pigs

How would you like to receive your card?*
- I would like a digital copy emailed to me
- I would like a hard copy sent to me in the mail
Please Note: Our team will need to process the details of your Gift of Hope purchase to ensure you receive the correct card and it will take up to 12 hours to receive your digital copy.
- I understand.
Email
Please Note: Standard Canada Post Mail and Parcel Delivery Times Apply. The delivery standard for regular mail sent inside Canada is: two business days for local mail, three business days within the province, four days for national mail. These time frames are not guaranteed, as weather and mail volume can affect delivery.
- I understand.
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

$ Donation Amount:

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $70.00

Yoga for Hope Registration

Donation Amount:

$ 30.00

Select Payment Method

Credit Card
PayPal
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Terms

Show Terms

Agree to Terms?

Donation Total: $30.00

World AIDS Day Gala 2019 Registration

Become a Sponsor

Solar Powered Lanterns

Women to Women Registration

Gifts of Hope – Support Foster Mothers

Gifts of Hope – Support a Foster Mother for a year

Gifts of Hope – Support the Breakfast Program

Gifts of Hope – Provide breakfast for a full year

Gifts of Hope – Chickens

Gifts of Hope – Pigs

Yoga for Hope Registration

Step 1 of 7

Contact Information

Emergency Contact

Skills & Interests

Reasons for Volunteering

Availability & Commitment

Confidentiality Agreement

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