This form is for you to provide feedback and also to commit any level of support that you may provide. Filling out the support areas means that you are committing to support this project. Once we receive your feedback, we may contact you. Please note that we may not be able to charitable status during initial operation.
Tell us About yourself Name*: Day time Phone: Evening: Email Address*: Street Name: City: Country: Postal Code:
Your comments: Method of Support I am willing to donateNone 20 CAD 25 CAD 30 CAD 35 CAD Per month for this cause For a period of One Year Two Years Three Years Four Years I will donate CAD as a lump sum. I will provide volunteer services for Hours per month.
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