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Donation in Support of Cancelled Ball
1
Amount
2
Your Information
3
Payment
1-Donation
Yes, I would like to replace the purchase of my Ball ticket with a donation of:
*
$200
$400
$600
Other
Enter donation amount:*
*
Total Donation
$ 0.00 CAD
2 - Information
Name
*
First Name
Last Name
Company Name
Company Name
Your tax receipt will be made out to this name.
Address
*
Street Address
Address Line 2
City
Province*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Telephone
*
Email
*
3 - Payment
Billing Information
*
This address will be used for the tax receipt.
Use previously entered address
Street Address
Address Line 2
City
State / Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
For donations lower than $20, click here if you wish to receive a tax receipt
Payment Method
*
Credit Card
PayPal
*After you hit "submit" you will be taken to PayPal to complete your payment*
Credit Card Information
*
American Express
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Date
Security Code
Cardholder Name
Summary
**Please confirm that all information is correct.**
Name:
{Name (First):32.3} {Name (Last):32.6}
Company Name:
{Company Name (First):33.3}
Address:
{Address (Street Address):34.1} {Address (Address Line 2):34.2}, {Address (City):34.3}
{Address (State / Province):34.4} {Address (ZIP / Postal Code):34.5}
Telephone:
{Telephone:35}
Email:
{Email:36}
Donation amount:
{Total:45}
Total
$ 0.00 CAD
Name
This field is for validation purposes and should be left unchanged.
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