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Chill Donation Form - Online Canada
Enter Donation Amount
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$1,500
$1,000
$500
$100
$75
$50
$30
$
Recurring Payment Schedule
One Time
Monthly
Quarterly
Yearly
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 .
select one
Canadian National
Toronto
Vancouver
Make my donation in memory of Jake Burton Carpenter
Yes, Ride On Jake!
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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Verify Email
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Home Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
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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 or in memory of
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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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Verify Email
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May we notify a family member or friend of your gift?
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Please note: We do not disclose donation amounts. In some cases, families have requested Chill notify them with the names of all donors, however, if you select No, we will list you as Anonymous.
No
Yes, by email (Donor to provide email address)
Yes, by email (Chill to use family/friend email on file)
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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Verify Email
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Family or friend's Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add 3% to my total amount to help cover the payment processing fees