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Children's Rehabilitation Foundation - Charity Donation Winnipeg

To make a Donation, please complete all fields labelled with an asterisk. You are able to donate directly to the Foundation, to a Children's Rehabiliation Foundation hosted event or to an individual participating in an event.

Where is your donation going to?*

To the Foundation

To a Foundation Event

To a Participant in an Event

First name*

Last name*

Designation*

Mailing address*

City*

Country*

Province/State*

Postal/Zip code* format R2W1G7 or 90210

Company

Other

Email address*

Phone number* format 204 555 5555

Fax number format 204 555 5555

Donation amount* $

NOTE A tax receipt will be issued for donations of $15.00 or over. All amounts are in Canadian funds.

Tax receipt to*

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© Copyright Children's Rehabilitation Foundation. All rights reserved.
633 Wellington Crescent, Winnipeg, MB, R3M 0A8 :: ph: (204) 475-5073 :: fx: (204) 453-5182