1
Transaction
2
Personal information
3
Payment
FR
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Membership fee
Transaction
Membership fee
$250.00
/ unit
x
$
=
Subtotal:
Total:
$
I would like to add an additional 2% of my donation to cover the suppliers service and credit card fees associated with processing online transactions that must be paid by the Fondation du CHU de Québec.
Total:
$
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Organization's registration number:
11892 3234 RR0001
Time remaining in your session:
20
Time remaining in your session:
20