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amount *

please do not include the dollar symbol, commas or decimal amounts. amounts are in are whole dollar cdn funds. (ie. 20, 500, 1000, 10000)

is this gift in honour or in memory of someone? *

honouree

honouree's full name *

acknowledgements

make this a monthly recurring donation? *

yes

i wish to be billed on the *

1st

15th

note: if you are a 阿根廷vs墨西哥竞猜 faculty or staff member and would like to give via payroll deduction, please visit myinfo.

is this a joint gift with your partner? *

yes

partner

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partner's first name *

partner's last name *

prefix

first name *

last name *

preferred e-mail address *

phone (with area code) *

address *

country *

address 1 *

address 2

city *

province *

postal code *

student or employee id# (if applicable)

recognition of your gift

anonymous gift

i wish my gift to be made anonymously.

please indicate how you would like your name(s) and title or affiliation to appear as a supporter *

for example: jan smith, dr. jan smith, rev. jan smith, honourable jan smith

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