Canadian Music Therapy Trust Fund

This on-line donation form may be used to donate funds or purchase event tickets to directly support Music Therapy Services throughout the country. Tax receipts for donations of $20 or more will be issued. Thank you for your support!

I would like to make a donation I would like to purchase tickets

^* Required Fields

First Name:^*

Last Name:^*

Company Name:^*

Leave Blank:

Address:^*

City:^*

Province/State:^*

Country:^*

Postal/ZIP Code:^*

Phone:^*

( ) Ext.

Email:^*

Type of donation:

Individual Corporate

Fund Designation:

Amount: (All funds charged in Canadian dollars)
$25 $50 $75 $100 Other: $

Tickets: CAMT MEMBERS ORDERING A 'Gift of Music' DVD

If you are ordering from an educational instituation, organisation, business, or are not a CAMT member, please call our office at 1 888 689 9545.

Quantity:

Ticket price: $25.00 each

Credit Card Information

Card Type: ^*

Card Number:^*

CVV:^*

What is this?

Cardholder Name:^*

Expiry Date:^*

Please click Submit button only once

Canadian Music Therapy Trust Fund
1175 Bloor St. West
Toronto, ON M6H 1M9
Tel: 416 535-0200 Toll Free 1-888-689-9545
Email: info@musictherapytrust.ca Website: www.musictherapytrust.ca
CHARITABLE NUMBER 88551 0008 RR0001

To ensure the security of your personal information your credit card information is processed securely in real time using the latest available encryption technology. IATS Ticketmaster is compliant under Payment Card Industry Data Security Standards (PCI). Look for the locked lock on your browser's status bar to ensure you are submitting your payment information on a secure form.