FR
In Memoriam Donation
1
Transaction
Name of the deceased
Would you like to notify the family of your donation ?
Yes
No
Gift type
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Donation
Donation amount
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$10.00
$20.00
$50.00
$75.00
$100.00
Other
Other
$
Acknowledgment
I authorize the SSLPCR to publish my name or that of my company and the amount of my donation
I authorize the SSLPCR to publish my name or that of my company only
I wish my name and the amount of my donation remains anonymous
2
Personal information
E-mail
---
Personal E-mail
Professional E-mail
Why create an account?
Password
Fogotten password?
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Confirmation email
Personal
Corporate
Title
---
Mr.
Mrs.
Ms.
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Abbot
Brother
Deacon
Director
Doctor
Father
Honourable
Miss
Monsignor
Pastor
Professor
Reverend father
Reverend mother
Sister
Gender
First name
Last name
Job title
Company
Country
---
Canada
Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Street no.
Street name
Street type
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allée
autoroute
avenue
boulevard
carré
carrefour
cercle
chemin
côte
croissant
impasse
montée
parc
passage
place
promenade
rang
route
rue
terrasse
Apt. / office
---
app.
bureau
chambre
étage
local
porte
studio
suite
unité
No. apt.
I am unable to enter my address
City
Postal code
3
Payment
TOTAL amount
$0.00
No payment methods available
I want a tax receipt.
SIREN
Forme juridique
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Comments
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Confirm
Organization's registration number:
82034 5882 RR0001
Time remaining in your session:
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Time remaining in your session:
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