Donation - Inclusion Langley Society

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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
Select Payment Method
- Credit Card

Credit Card*

Cardholder Name

Card Number

Expires

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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:*
(Max. 500 characters)
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