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Email confirmation

Title [Mr.Mrs.Ms.Dr.ect]

First Name

Last Name

Organization (for corp gifts)

Mailing Address

City

Country

State/Province

Zip/Postal Code

Phone (Day)

Donation Amount

Frequency:

Contribution Amount:

CAD

Payment

Please type the cardholder name as it appears on the credit or Visa debit card. For corporate donations requiring receipts under the business name, include the business name listed on the card along with the name of the cardholder.

Cardholder Name:

Credit Card #:

Security Code (CVV2):

What is a CVV2?

Card Type:

Expiry:

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).

Is this a corporate donation?
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Would you like information about remembering Community Living Toronto in our Will?
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