Donation Form

Thank you for giving to the Mercy Ships Canada General Fund

Please Note: Pledge payments are processed on the 15th of each month, following this donation.

Please feel free to call us if you would like to make other arrangements.

* Required Fields

Donation Information
Amount (CDN)
Type of Donation	Monthly Donation One Time Donation
Frequency
How did you hear about Mercy Ships?

Donor Information
* First Name
Middle Name
* Last Name
Company Name
* Address
* City
* Province
* Postal Code
* Country		* Phone
* Email

Credit Card Information
* Card Holder Name
* Card Type
* Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same as Above
* Address
* City
* Province
* Postal Code

Please note: In accordance with CRA regulation, an official donation receipt will only be issued when the donor name and credit card name match.

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, to ensure your payment is correctly credited to your account, to issue your official donation receipt and to communicate with you.

Canadian Charitable Registration # 89064-8249-RR0001