Donation Form

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Mail donation cheque to the address below.
Canadian PBC Society

4936 Yonge Street, Suite 221
Toronto, Ontario
M2N6S3
Toll Free Phone: 1-866-441-3643 Direct Phone: 416-440-0917 Fax: :705-456-9872

Donation Type

Acknowledgement Card
Card Details
Donation: Please make cheque payable to: Canadian PBC Society.
Please send tax receipt to

Personal Information

Unless otherwise requested, tax receipts are issued for donations of $10 or more.

 Please enter the name and address of the person who is to receive the tax receipt.

The Canadian PBC Society is dependent upon the generous support of donors and volunteers to fulfill its mission. In accordance with the Privacy Act, the Society collects your personal information and it will be used for the purpose of processing your donation and to issue a tax receipt. For more information about our privacy practices, view our privacy policy


If you would prefer not to receive communications from the Canadian PBC Society inviting you to support our fight against PBC, please tick this box.
Verification

Information

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Charitable Registration Number 88162 3904 RR0001

Last modifiedOctober 6, 2008 Form CSS © http://jeffhowden.com