Donation Form

Monthly Donations

When you set up a monthly donation, you become a consistent source of hope for local children, youth, and families in need. Your monthly contribution ensures a steady lifeline of support, empowering us to plan for reliable essential services and programs that make a lasting impact. Join us on this journey, and together, let's make a difference for those who need it most in our community.

Recurring Gift

Amount

$5/month - after one year, a complete new outfit for a growing child

$10/month - after one year, a laptop for a youth's education and community connection

$25/month - after one year, a crib, mattress, and bedding for a newborn

$50/month - after one year, a payment towards rent or utilities

I would like to dedicate this donation

Contact Information

First Name

Last Name

Address

City

Province

Postal Code

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Simcoe Muskoka Child, Youth, and Family Services O/A Simcoe Muskoka Family Connexions and I will donate $0.00.No. I will donate $0.00 and Simcoe Muskoka Child, Youth, and Family Services O/A Simcoe Muskoka Family Connexions will cover the processing costs.

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/Politique de sécurité
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.

Nous prenons des précautions pour protéger votre information. Nous collectons de l'information de cartes de crédit et de compte bancaire, noms, adresses, et autres données liées à votre transaction lorsque vous faîtes un paiement avec notre site. Nous utilisons cette information pour traiter votre paiement.

Terms/Conditions - Termes/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.

En soumettant votre paiment, vous nous autorizez à débiter le compte ci-dessus pour le montant spécifié dans le champ Montant de la transaction. L'information de compte pour les promesses récurrentes/dons mensuels sont encryptées et stockées sécuritairement via SafeSave™ pour les traitements automatiques de vos paiements futurs. Laissez-nous savoir en tout temps si vous souhaitez arrêter votre promesse.