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Donor Information

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(if applicable)

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One time gift

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There are several ways to support the work of CMHA.

Gifts may be made as a tribute or in the memory of someone. Please complete if appropriate.

This gift is a tribute gift
Gift In Tribute To:
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Acknowledgement Card To:
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Address 1:
Address 2:
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Country:
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Sign Card As:
Special Message for Card: (CMHA will use a message unless otherwise indicated)
Message To Charity:

This gift is in memoriam
Gift In Memory Of:
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Acknowledgement Card To:
First Name:			Last Name:
Address 1:
Address 2:
City:
Province/State:
Country:
Postal/Zip Code:

Sign Card As:
Special Message for Card: (CMHA will use a message unless otherwise indicated)
Message To Charity:

Clicking on Continue will take you to our secure credit card processing screen, from where you will be asked to enter your credit card details.
Please note that the transaction you are about to process through the CMHA will appear as a CMHA charge on your credit card statement.

By making a donation online, you are donating to the CMHA National Office. If you wish to make a donation to a specific CMHA branch, region or division, please contact them directly.

If you are mailing your donation to us, please remember to print and mail to us both this information and the above donation form.

In recognition of your support, The Canadian Mental Health Association will be sending a card to the family noted above. A tax receipt will also be sent to you once your donation has been processed. Your support is greatly appreciated.

CMHA National's Business Charitable Registration Number is 10686-3657-RR0001.

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