Donation Form - Blackfalds, AB

Thank you so much for your interest in donating to FCSS programming.
Please fill out the following:

Please select the program you'd like to donate to * General
Children & Youth Programs
Winter Wear Program
Back to School Program
Christmas Bureau
Seniors Programming

How much would you like to donate? *

Please provide the following information. Our finance team will use this to contact you and complete the payment process.

Name *

Preferred Method of Contact (phone number, email address, etc) *

Preferred Method of Payment (credit card, cheque, cash, etc) *

Would you like a charitable tax receipt? Yes
No

Personal information provided on this form will be used solely to facilitate contact and payment processing. This information is collected under the authority of Section 4(c) of the Protection of Privacy Act and will protect under Part 1 of the Act. Questions regarding the collection and/or use of this information may be directed to the Information Governance Coordinator at access@blackfalds.ca or by phone at 403.885.6370.