Fundraising by Queens University students - Registration
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Donation to which program
Amount being donated
$
Title
First Name
Last Name
Have you donated to HCI before
Yes             No
Mobile Number (optional)
Email Address
Payment Options
E-Transfer (preferred method) to info@handicareintl.org
PayPal
PayPal Giving Fund
Cheque*

Comments (if any)
Note: Filling the form is essential. All fields must be filled.

* If you want to pay by cheque, please send it to the following address:
Handi-Care Intl., 38, Larwood Blvd, Toronto, Ontario, CANADA M1M 2M5

Important for USA and out of Canada donors: We CAN NOT accept e transfers from a non-Canadian bank. Please pay through PayPal giving fund or regular PayPal (using your Credit Card)


Donation tracking:


Sl #
Name
Amount
1
Dinesh Krishna
$ 200
2
Diane Langill
$ 50.00
3
Kelsey Herrington
$ 25
4
Dallas Duffus
$ 25.00
5
Susan L Weir
$ 100.00
6
MICHELLE GHANEY
$ 19.38
7
Douglas Sylvester
$ 20
8
Patricia A Lines
$ 100.00
9
Anne Henderson
$ 150
10
Elizabeth Kalmakoff
$ 200.00
11
Marnie Deighton
$ 50.00
12
Callum Fleming
$ 602
Total Donation
$ 1541.38