DONATE TO FVACFSS CAPTCHALogic FieldsAdministrative FieldsTax Receipt No:*Submitted By:Date Submitted:Comfirmed By:Date Confirmed:Cancelled By:Date Cancelled:Manually Entered Donation?*Selecting "Yes" will bypass payment through PayPal.YesNoDonation Confirmed?*YesNoPayment Method:*CashChequeCredit CardGift In-KindPayPalInvoice as DonationE-TransferOtherSend Notifications?*Whether donor should receive email notifications about their donation.YesNoDonation DetailsDate Received* Date Format: MM slash DD slash YYYY Amount* Donations of $25 and above qualify for tax receipts.Fund*GeneralChristmas HamperMessage for FVACFSSDonor & Tax Receipt InformationDonor Type*PersonalCorporate/GroupNon-Profit/Group Ineligible for Tax ReceiptsName* First Last Company / Group Name*Phone*Email* Billing Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Pay Via*PayPalE-TransferI would like to receive updates from FVACFSS by joining the mailing list.*YesNoE-Transfer InstructionsPlease send all e-transfers to [email protected] and include your name/organization and email in the memo line.* I have read the above instructions for e-transfers and understand I will not receive a tax receipt until my donation is confirmed. PhoneThis field is for validation purposes and should be left unchanged.