Yes, I'd like to help Light Up Wellspring!

Thank you for your generous support of the 2018 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.
Amount:	Light up two bulbs $ 10.00 Light up one strand of bulbs $ 25.00 Light up two strands of bulbs $ 50.00 Light up four strands of bulbs $ 100.00 Light up a Guiding Star $ 150.00 Light up a wreath $ 300.00 Light up a tree $ 1,000.00 Other $     *
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.
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
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May we recognize your donation publicly?:	Yes No
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What brought you to the site to give today?	Light Up Wellspring
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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Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038	*
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