Donation Inquiry

Yes, I am interested in making a donation to Community Care Durham.

Donor Information
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First Name:
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Last Name:
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Province:
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Postal Code:
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Daytime Phone Number:
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Evening Phone Number:
Email Address:

Donation Information

Donation Type:
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Donation Amount: *
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*Consultation with a lawyer and an accountant is recommended

Payment Method

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Payment Method
Payment Method (for 'Monthly Donation')

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Payment Method (for 'One-time Donation')

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Payment Method
Payment Method (for 'In   Donation')

Please choose your payment option below and a payment authorization form will be mailed to you:


This donation is in memory of:
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This donation is in tribute of Occasion:

This donation is in tribute to:
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First Name:
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Last Name:
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City:
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Province:
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Postal Code:
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Name:
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How did you hear about us?

Community Care Durham appreciates your generous support. Information collected will be used to process your donation and to issue a tax receipt. For information about our privacy policy, view Community Care Durham's Privacy Policy.

Click "Submit" to send your donation information to Community Care Durham.

Community Care Durham
16100 Old Simcoe Road
Port Perry, ON L9L 1P3
Phone: 905-985-0150
Fax: 905-985-0313

Thank you for your generous support!





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