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* 1. Please enter your contact information:

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* 2. If this is a donation, please indicate the Church or ministry the funds should be directed to.   (Please note the donation must be for a Canadian, Nazarene Church or ministry.
The credit card fee (2.9% plus .30 cents) will be subtracted from the donation the charity receives but you receive a donation receipt for the full amount.)

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* 3. If this is a payment, please indicate what you are paying for.

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* 4. Amount of donation or payment (the amount must be entered as a whole number with no $, ., or cents. ie: for $40.00 enter 40)

CA$
Minimum amount: $1 CAD
You will pay at the end of this survey.

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