Secure Donations
Thank you for your generous support. Please provide the requested
information so that we can process your donation.
|
|
My Gift
|
Please select a gift amount and frequency, or enter a different
contribution amount in the box below.
|
|
Frequency:
|
|
|
|
|
Contribution Amount:
|
|
Please consider our recurring giving options by
selecting the
Monthly
or
Quarterly
frequency above. Our recurring giving plan is an easy way for you
to support Wellspring Niagara with manageable monthly or quarterly gifts.
With this plan, you have complete control. You choose the amount
you feel comfortable with. If at any time you want to stop, increase
or decrease the amount, just contact us at 905-684-7619 or
1.888.707.1277, or email us at ann@wellspringniagara.ca
and we will make the changes you would like.
|
|
Tribute Gifts
|
If the donation is to be made in tribute to someone special or to the
occasion of an event, please provide the following details.
|
|
|
If you would like us to send an acknowledgement on your behalf,
please provide the information below. Please make sure to input
the NAME and ADDRESS of the person you wish us to send the
acknowledgement to in this space and not your own address. THANK YOU
|
|
Email:
|
|
|
Full Name:
|
|
|
Mailing Address:
|
|
|
Message:
|
|
|
|
|
Donor Information
|
In order for your tax receipt to be accurate, please provide your
full contact information in the spaces provided.
|
|
Email
|
|
|
First Name
|
|
|
Last Name
|
|
|
Mailing Address
|
|
|
City
|
|
|
Country
|
|
|
Province
|
|
|
Postal Code
|
|
|
Phone (Day)
|
|
|
|
|
Credit Card Information
|
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).
|
|
Cardholder Name:
|
|
|
Credit Card #:
|
|
|
Security Code (CVV2):
|
|
|
Card Type:
|
|
|
Expiry:
|
|
|
|
|
|
|
We are always interested in knowing who our donors are, and your reason for giving. Please feel free to share with us, or give us other feedback.
|
| |
|
|
|
Thank you for supporting Wellspring Niagara!
|
Recurring message
|
