The SPCA Vancouver Hospital Trust Fund

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Personal Information:

*My donation is being made in the name of an individual or organization:
Individual Organization

Salutation:

Mr. Mrs. Ms. Dr. Other:

First Name:

Middle Initial:

Last Name:

Organization Name:

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An email address is required for delivery of a digital tax receipt. If you do not wish to receive any other email messages from us, check the box below

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(used for statistical purposes only)

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