Electronic Transfer Donation Notification

First Name

Middle Initial(s)

Last Name

Email *

Address 1 *

Address 2

City *

Province *

Postal Code *

Country *

Project *

E-Transfer Amount *

This donation is / will be:

One-time

Occasional

Monthly

Annually

I have already sent an E-Transfer

I will send an E-Transfer once I have completed this form

Any additional notes / Comments