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Transaction
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Personal information
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Payment
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In memoriam donation dedicated to the Baie-des-Chaleurs Palliative Care Home project
Transaction
Don in memoriam
Subtotal:
Total:
$
Total:
$
Information on the deceased person
Title
---
Mrs.
Mr.
First and last name
Contact information of the deceased's family
Would you like the familly to be informed of your donation?
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Organization's registration number:
14083 0415 RR 0001
Time remaining in your session:
15
Time remaining in your session:
15