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Please provide information about the donation
Comments (Please provide other details here including Council No. / Club Name etc. if applicable)
Presentation Folder Information
Your $195 donation will allow us to deliver a brand new wheelchair into the life of a person in
desperate need of mobility. For each $195 donation, you will receive a beautiful presentation folder with the picture
of a wheelchair recipient inside. Click the image below to view a larger photo of the presentation folder.
Please indicate if you wish to receive a presentation folder (Please note this only applies to gifts of $195 or more).
If you are not requesting a folder, enter "No thank you", and then skip to the credit card information section of this form below.
Please send me a presentation folder
Please send a certificate to read: Canadian Wheelchair Foundation wishes to thank...
For the gift made
Credit Card Information
We accept MasterCard, Visa, and American Express