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DIXIE BLOOR NEIGHBOURHOOD CENTRE

Thank you for all your donations, Your donations will help children in need especially over the holidays.

Donor Information:

 
Type of donation: Individual Corporate
First Name:*
Last Name:*

New Born Child Adolescent

Adult Seniors

Company Name:
Address:*
City:*
Province:*
Postal Code:*
Phone:*
Email:*
 

Payment Information:
All Money Order/Cheques can make payable to Dixie Bloor Neighbourhood Centre

 

Cheque Money Order Cash

 

Amount:* (All funds charged in Canadian dollars)
$25 $50 $75 $100 Other: $

1420 Burnhamthorpe Rd. East Suite 315 Mississauga,
ON, L4X 2Z9
Tel:  (905) 629 1873   Fax:  (905) 629 0791