Canadian Dominican Ray of Hope Donation Form
Donation Card & Tax information form
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Name: *
Email address: *
Phone Number: *
Billing/Tax Address: *
Donation Amount: *
Would you like an tax receipt? *
Payment options: *
Credit card number:
Name of card holder:
Expiry date: Month/Year
CVC # (3 digits on reverse of card):
Thank you very much for your donation!
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