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In Memoriam Donation
1
Personal information
E-mail
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Personal E-mail
Professional E-mail
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Confirmation email
Personal
Corporate
Title
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Mr.
Mrs.
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Mx.
Gender
First name
Last name
Job title
Company
Country
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Canada
Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Street no.
Street name
Street type
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Alley
Avenue
Bay
Boulevard
Centre
Circle
Court
Crescent
Crossing
Cul-de-sac
Drive
Gate
Glen
Green
Grounds
Grove
Heights
Highway
Hill
Lane
Line
Mews
Park
Parkway
Path
Place
Private
Quay
Ridge
Rise
Road
Rural Route
Square
Street
Terrace
Trail
Walk
Way
Apt. / office
I am unable to enter my address
City
Postal code
Birthdate
2
Transaction
In memory of a loved one
Don
Don
$25
$50
$100
$250
$500
Subtotal:
Total:
$
Total:
$
If you would like your donation to be redistributed to a Particular Council * (P.C) or Conference **, please select from the list below:
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Conference (Please select your conference at the next step)
Particular Council of Bon-Pasteur Ste-Rose (Laval Ouest)
Particular Council of L'Assomption
Particular Council of Laval East
Particular Council of Notre-Dame de Bellerive (Montréal Est)
Particular Council of Sacré-Coeur (Montréal Nord-Ouest)
Particular Council of Saulit-au-Recollet (Montréal Nord)
First and last name of the deceased
Notify family by e-mail
Notification preference
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E-mail
By Postal Mail
3
Payment
TOTAL amount
$0
How did you hear about us?
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Postal solicitation
Family, friends, community
Mainstream media
Social media
Artistic collaboration
Spokesperson Gabrielle Destroismaisons
other
I would like to receive information on planning a bequest or other types of planned gifts (without commitment). All requests will be treated confidentially.
No payment methods available
I would like an official tax receipt. Valid for all donations of $20 or more (except for the purchase of the SSVPM x Moule bag).
SIREN
Forme juridique
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I would like to be informed of our latest news, events and actions in the community, in agreement with our privacy policy.
Comments
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conditions of use
and
privacy policy
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Confirm
Organization's registration number:
10759 9573 RR0001
Time remaining in your session:
15
Time remaining in your session:
15