JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WRMA Tax Receipt Form 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
Middle Name
Your answer
First Name
*
Your answer
Phone Number
Please enter in the format: XXX-XXX-XXXX
*
Your answer
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
Please write in the format XXX YYY
*
Your answer
Donation Amount
*
Your answer
Donation Date
*
MM
/
DD
/
YYYY
Payment Method
*
Choose
E-transfer
Cheque
Cash
Pay by credit or debit card
PayPal
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of The White Rock Muslim Association.
Report Abuse
Forms
