Gift Information

Gift Information

Field Is Required Select A Gift Amount:

We are happy to provide a charitable receipt with a minimum donation of $20.00.

Donor Information

The email address you enter MUST belong to the donor in order for the receipt to be issued in the donor’s name. If you do not have the donor’s email address, please use this email format in order to have the receipt sent via Canada Post after the Walk for Dementia is over:

(example: jane.johnson@walkfordementia.ca).

Billing Information

Payment Information

Credit Card Information:

Credit Card Type:
  • Visa
  • Discover
  • American Express
  • MasterCard
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