Donation form
Name
:
Address
:
City
:
Zip
:
Phone
:
Email Address
:
Donation Options
: E-Transfer (preferred method)
Paypal / Credit card (2% will be charged)
Cheque *
Amount
: $
Name of Child your supporting
:
Comment
:
test
* If you want to pay by cheque, please send it to the following address:
Handi-Care Intl.,
168, Bonis Ave. Unit 711,
Scarborough,
Ontario,
CANADA M1T 3V6