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Make a General Donation

Please provide your address and payment information. The address information is required to generate your tax receipt. The electronic tax receipt will be sent to the email address you provide.

Fields marked with a * are mandatory.

Make a Personal Donation

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*Last Name:

Make a Corporate Donation


Address Information

Apt. number:
*Street number:
*Street name:
Address line 2:
*ZIP/Postal Code:
*Address Type:
*Phone: Ext:
Allow Canadian Physicians for Aid and Relief to contact me by email.


* General Donations of $200 and above can receive the WHDC participant T-shirt. Would you like a T-shirt?
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* Would you like a poster?
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Payment Information

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Other $
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Credit Card Information

Transactions are in Canadian Funds
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*CVV: What is CVV?
Tax receipts will only be issued for donations $10 or greater

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