Donation

"(Required)" indicates required fields

Donor name(Required)

First name Last name

Phone(Required)

Email(Required)

Address(Required)

Address City Province Postal code Country

Reason for donation

Amount of the donation ($)

Personalized amount ($)

Credit card information(Required)

Total

Please note that we will contact you for the tax credit for donations over $20.

890, boulevard du Saint-Maurice
Trois-Rivières, Québec, Canada
G9A 3P8