Oops... javascript is not enabled. To use this page your need to enable javascript in your browser. Please click here for simple instructions to enable javascript. YES - I'd like to make a donation in support of Community Rocks! Email Email confirmation Title [Mr.Mrs.Ms.Dr.] First Name Last Name Organization (for corp gifts) Mailing Address City Country State/Province Zip/Postal Code Phone (Day) Is this a corporate donation? yes no Donation amount Frequency: Contribution Amount: CAD Please type the cardholder name as it appears on the credit or Visa debit card. For corporate donations requiring receipts under the corporate name please include the corporate name with the name of the cardholder. Cardholder Name: Credit Card #: Security Code (CVV2): What is a CVV2? Card Type: Expiry: 1 2 3 4 5 6 7 8 9 10 11 12 / 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 MM/YY 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). Recurring message