The Chill Foundation · Chill Donation Form

Enter Donation Amount *
$1500 - Includes invite to Chill's donor recognition event in March
$1000
$500
$100
$75
$50
$30

$

Recurring Payment Schedule

Donation Designation

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To designate your gift to a local site, choose a city from the following list, otherwise select Canadian National .

Contact Information

Are you making this donation as an individual or business/organization?

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Individual

Business/Organization

Organization/Employer

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Name

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First Name

Last Name

Preferred Email

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Home Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Is this a tribute gift?

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No

Yes, in honor of

Yes, in memory of

Name of the person this gift is honoring

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First Name

Last Name

May we notify the honoree of your gift by email?

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Yes

No

Honoree's email address

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May we notify a family member or friend of your gift?

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No

Yes, by email

Yes, by mail

Name of family or friend to notify

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First Name

Last Name

Family or friend's email address

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Family or friend's Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country