Donation
How much would you like to donate?
Complete the following fields if this gift is a tribute.
(optional)
What kind of donation would you like to make?
Easter Appeal 2024
Galaxy Ball
In Memory Of
In Honour
Adult Day Program
Programs & Services - LTC
Copernicus Seniors Club
Nicholas Copernicus Endowment
Bench in Honour
Chapel
Send an Acknowledgement to
(include full name and address)
Message to be forwarded
Tribute Name
Contact Information
Title (Mr./Mrs./Ms./Miss)
First Name
Last Name
Company Name
Address
City
Province
Postal Code
Home Phone
Work Phone
Email
Your entry is not a valid email address!
Credit Card Information
Card Holder Name
Visa
MasterCard
Card Account Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
24
25
26
27
28
29
30
31
32
33
34
Security Code
Billing Address
Same As Above
Address
City
Province
Postal Code
Email
Your entry is not a valid email address!
Next
Terms/Conditions
By clicking the "Submit Payment" button, you authorize us to charge the account above for the amount specified in the Transaction Amount field.
Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly debited to your account.
Return Policy
If you have any questions or concerns with your payment, please contact us using the information provided in the Contact Us section.
Contact Us
:
Copernicus Lodge Foundation •• 66 Roncesvalles Avenue, Toronto, ON M6R 3A7 •• 416-536-7122, ext. 392 ••
[email protected]
©2024 SofterWare, Inc. v.2024.01-B