FR
In memoriam Donation

WARNING! We remind you that the receipt will be sent to the name and contact details that appear on this form.

1
Contact information
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2
Transaction
I would like to make a donation in memory of
$
3
Payment
TOTAL amount
$0.00
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Organization's registration number: 
11889 9939 RR0001
Time remaining in your session: 15 Time remaining in your session: 15