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Donation Information
Amount:	$ 10,000.00 $ 5,000.00 $ 2,500.00 $ 1,000.00 $ 500.00 $ 300.00 $ 200.00 $ 100.00 $ 50.00 Other $     *
Additional Information
Type of gift:	One-time gift Recurring gift
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
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Anonymous:	I prefer to make this donation anonymously
Comments:
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Billing Information
Title:	<Please select> Mr. Mrs. Ms. Miss Master Dr. Reverend	*
First name:		*
Last name:		*
Country:	United States Canada United Kingdom USA	*
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Phone:		*
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032	*
Card Security Code:		*
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Tribute Information
Name:		*
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Type:	in memory of as a birthday gift for as a Christmas gift for as a wedding gift for employee recognition as a anniversary gift In Honor Of	*
Description:		*
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Tax Receipts
One-time credit card donors will receive an e-receipt. Please note: Your official tax receipt will be issued under the cardholder name reflected on your credit card. The Canadian Income Tax Act does not permit tax receipts to be issued to anyone other than the donor whose name appears on the credit card.

To ensure accurate receipting and recognition, donations on behalf of organizations and associations, or made by anyone ineligible for tax receipts, please directly contact the Children's Cottage Society's Fund Development Manager, Elisha Jackson, at 403-283-4200 ext. 221 or email ejackson@childrenscottage.ab.ca