Alzheimer Society of Toronto


General Donation
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gift information Gift Information
Transaction Summary
Please note that fields marked with an asterisk (*) are required.
Donor Information
Donor type:  
Individual   Organization
*First Name:
Middle Initial:
*Last Name:
  Type your name as you would like it to appear on the tax receipt.
  (if applicable)
I would like the tax receipt to be issued in the organization's name
Address Type:
*Postal/Zip Code:
Telephone Type:
() - - Ext. 
Gift Information

*Type of Gift:

Single            OR           Monthly gift

*Gift Value:


Note: Monthly donations will be processed on the 15th of every month for the amount specified.
Monthly gifts are receipted on an annual basis, and you will receive your tax receipt by email each January.

Payment Method
*Card #:
What is this?
  All donations are in Canadian funds

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