Donation Form

The power of a monthly gift

When you become a member of the Friends of CCI Monthly Giving Program, you become part of the work we do every day to help all newcomers build new lives in Ottawa.

Donation Information

Amount

$15.00

$50.00

$25.00

Type of Donation

Monthly DonationOne Time Donation

Frequency

I would like to dedicate this donation

Contact Information

Title (Mr/Ms)

First Name

Last Name

Company Name

Address

City

Province

Postal Code

Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

Province

Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.