Donation - Inclusion Langley Society

Charitable No. 119005221 RR0001

Donation Details

I would like to donate:*

Inclusion Langley Society will issue a tax receipt to any individual who donates a minimum of $20.

Please direct my donation to*

(If Other, please specify)*

Donor and Tax Receipt information

Donor Type*

Company name/Group*

Name*

First Last

Phone

Email*

Address*

Street Address City Province / State Postal / Zip Country

I would like my tax receipt:*

Emailed to me
Hardcopy in the mail

Please note that an official tax receipt will be issued under the cardholder's name. The Income Tax Act does not permit us to issue tax receipts to anyone other than the donor (the person whose name is on the credit card

Payment Info

Quantity

Please enter a number from 1 to 1.

Total

$ 0.00 CAD

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Credit Card

Credit Card*

Cardholder Name

Card Number

Expires

CVV / CVC

Postal Code

Dedication Information

Donation Type*

No dedication (General Donation)
In Memory of

My gift is in memory of

Name

First Last

Send Acknowledgement Card To :*

Yes, Send an acknowledgment card to the name and address provided below
No, I do not wish to send an acknowledgement card

Name*

First Last

Address*

Street Address City Province / State Postal / Zip Country

Personalized message on acknowledgment card:*

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Donation Details

Donor and Tax Receipt information

Payment Info

Dedication Information