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Click here to download a donation form that can be faxed or given in to your local Na'amat Canada chapter or fill in the form below to donate online.
General Donation Online Form Step 1 of 2: Donor details - Please send my tax receipt to:
* Required information
Title: Dr. Mr. Mrs. Ms.
First Name: *
Last Name: *
Company Name: (Required for corporate donations)
Address: *
Apartment/Suite:
City/Town: *
Province/State: *
Postal code/ZIP: *
Country: * Canada USA (Canada & USA only)
Phone: * () -
Email:
Donation Amount: * $18 $36 $54 $72 $118 $250 Other
Credit Card Type: * VISA MasterCard
Card Holder Name: *
Card Number: *
Expiry Date: * 01 02 03 04 05 06 07 08 09 10 11 12 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
My donation should be directed to the following campaign or general need:
Special Comments or Instructions:
Privacy Policy: Na'amat Canada respects your privacy and maintains high standards to protect the confidentiality of the personal information of our members and donors. The information that you provide will be used for purpose of keeping you informed of our objectives, services and programs as well as for processing any donation you make to support Na'amat. If at any time you wish to be removed from this list or from any future Na'amat mailings, simply contact us by phone at 1.888.278.0792 or via email at naamat@total.net. If you would like more information concerning Na'amat's commitment to safeguard your privacy, please contact our Privacy Officer at 1.888.278.0792.
A tax receipt for donations of $10.00 or more will be mailed. Na'amat Canada issues annual receipts at the end of the calendar year.
Please check to ensure all information is correct then click the send payment button. (do not press the back button or refresh or the button more than once).
If you would like a confirmation email, please enter the characters you see in the image:
