Donation In Memory

Donation in memory / in honour of a loved one

Donor Information

 First Name *
 Last Name *
 Email *
 Address * 
 City *
 Postal Code *
 Phone * 

Donation Options:

Choose one *  General Donation JRCC at Rockford JRCC West Thornhill JRCC of Concord JRCC of Thornhill Woods JRCC East Thornhill JRCC of S Richmond Hill JRCC Lawrence JRCC of Ontario General Donation to JRCC Specific program (write in comments)  

 Amount:    

Payment Method:

 Security: JRCC uses technology that encrypts all information from the end-user to the web server. This is known as SSL encryption. In fact we use the highest form of this encryption, 128 bit SSL encryption. Secure pages are identified by the "lock" icon in your browser and by the web address beginning with "https://"

Bill my         
  Amount *
 Card Number *  
01 02 03 04 05 06 07 08 09 10 11 12     2024 2025 2026 2027 2028 2029 2030 2031 2032   Expiration Date *

 CVV 

Card: 
We will send a card acknowledging your donation.

In memory of  In honor of

To be sent to:
Name
Address

From:
Name
Address

Please write a note to be added to the card:


 

Tax Reciept:

The JRCC is a non-profit organization. All grants and charitable contributions $18 plus, are tax-deductible. A Tax receipt will be issued and sent to the above name and address unless otherwise noted. Thank you for you Support.