Placement Sports Donation Form

Donations

First Name(*)

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Name(*)

Please let us know your name.

Address(*)

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City(*)

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Province(*)

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Postal Code(*)

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Birthday(*)

/ / Donnée invalide

Gender(*)

Donnée invalide

Telelphone(*)

Email(*)

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Newsletter

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Amount of donation (*)

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Payment mode(*)

Cash

Cheque

VISA

MasterCard

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Name on Credit Card

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Credit Card Number

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CVV

Donnée invalide

3 digit code on back of card

Card expiration date

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I would like to make this donation annually Invalid Input

Would you like to have your name appear next to your donation or would you rather give anonymously(*)

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I accept that my donation be used for the Federation's operations(*)

Please choose

(*)

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J'embarque / I'm on board

TOT 45000

TOT 13300

30%

2020-04-06

Faire un don / Make a donation

Plus d'information / More Information

Donations

J'embarque / I'm on board

Thanks to our supporters!