Sign up for Monthly Donations

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Mailing address where the annual charitable tax receipt is to be sent each year.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Payment Method *

Please choose which form of payment you prefer. (In order to complete monthly donation set up, we will contact you directly for the specific account information. NOTE: Supporters from the USA, only Canadian financial institutions can be set up for pre-authorized debit at this time. Please visit CanadaHelps.org to set up monthly donations via credit card or Paypal.)

Pre-Authorized Debit (A voided cheque or pre-authorized debit form from your Canadian financial institution will be required.)

Credit Card

Payment Date *

Select the day of the month you prefer your donation to be processed.

1st of the month

15th of the month