2014 Light UpYes, I'd like to help Light Up Wellspring!

Thank you for your generous support of the 2019 Light Up Wellspring Birmingham Gilgan House. Please provide all requested information so that we can thank you for your donation and provide an official tax receipt.

Charitable Registration Number: 89272 8940 RR0001

 
Contribution Amount
Please enter the amount you would like to contribute. Note: Wellspring issues receipts for donations that meet Canada Revenue Agency guidelines.
$ 10.00
$ 25.00
$ 50.00
$ 100.00
$ 150.00
$ 300.00
$ 1,000.00
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Additional Information
We are always interested in knowing who our donors are and their reason for giving. Please feel free to share your feedback with us. Note: If you are buying a wreath, under "Name," please enter how you would like to be recognized on the attached ribbon.
Personal Information
Please provide your contact information below. Note: an official donation receipt will be issued as per the cardholder's name, which will be requested below, under Payment Information. The mailing address you list here will be used for your receipt.
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Payment Information
Please type the cardholder's name as it appears on the credit card. An official tax receipt for your donation will be issued under the name given.
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