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Giving is in Canadian dollars. See other ways to give. Questions? Call 403.202.3642

Contribution Amount

CAD $50.00

CAD $100.00

CAD $200.00

CAD $500.00

Other Amount

Contribution Amount

Other Amount $

Total Amount

One-time or Recurring Contribution

To set up a recurring contribution, check the box below.

I want to contribute this amount every for installments

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Username

Punctuation is not allowed in a Username with the exception of periods, hyphens, @, and underscores

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Your Information

First Name *

Last Name *

Email *

Street Address

City *

Country *

State/Province *

Zip/Postal Code

Direct Debit

Account No. *

Bank Identification Number *

Bank Name *

Account Holder *

Account type *

Agreement Your account data will be used to charge your bank account via direct debit. While submitting this form you agree to the charging of your bank account via direct debit.

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

You can find your Transit number, Bank number and Account number by inspecting a cheque.

Please enter them below without any punctuation or spaces.

Transit Number (5 digits) *

Bank No. (3 digits) *

Date of first contribution

You may select a later start date if you wish.

Contribute to the ministry of

Staff

Intern

Intern Designation for Campaign

Trip Volunteer

General

EMI Fund Designation

In memory of

Is this gift in memory of someone?

Designation

Gifts are tax deductible. Spending of funds is confined to programs and projects approved by EMI Canada. Should a donor designate a contribution, we will honour that designation, with the understanding that when the need for such a program or project has been met or cannot be completed for any reason as determined by EMI Canada, the remaining designated gifts will be used where most needed.