Donation form
Name
:
Address
:
City
:
Zip
:
Phone
:
Email Address
:
Donation Options
:
E-Transfer (preferred method)
Paypal / Credit card (2% will be charged by the CC from your donation. Please add 2% to your donation amount so the full amount will go towards the program you have selected. Thank you)
Cheque
Amount
:
Name of Child you are supporting
:
Comment
:

Filling form is essential. Once the form is submitted, it is stored in our database. We require the information on this form to process your receipt as well as to route your donation to the selected program.

* If you want to pay by cheque, please send it to the following address:
Handi-Care Intl.,
38, Larwood Blvd
Toronto,
Ontario,
CANADA M1M 2M5