Thousand Island Association · TIA Donation Form

Name

*

First Name

Last Name

Email

*

Verify Email

*

Select the Appropriate Tax Receipt

*

American Tax Receipt

Canadian Tax Receipt

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Amount

*

$500

$200

$100

$50

$25

$

Comment (such as in honor/memory of information)

You will be able to pay with either a credit card or PayPal