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Donate to JRCC Furniture Depot

Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Amount*
$50.00$75.00$100.00$180.00$500.00$1000.00$1800.00
Yes, I'd like to make this a monthly recurring payment.
DedicationDedicate your donation in honour/memory of someone.

Payment*

Credit Card

Credit Card Type
Credit Card Number
Name on Card
Expiration Month	Expiration Year

The JRCC Furniture Depot 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 below.
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