Online Donation Form Charitable Tax Receipts will be issued for eligible gifts of $25 or more. Tax Receipts will only be issued in accordance with Canada Revenue Agency’s (CRA) Tax Receipting Guidelines. Step 1 - Your Gift InformationWhere would you like your gift to be used?*Wherever it is needed mostBig Sisters Mentoring Program What's this?Study Buddy Program What's this?Go Girls! Healthy Bodies, Healthy Minds Program What's this?Gift Amount*$50$100$250$500$1,000$2,000 DetailsNote: Tax receipts are issued for gifts of $25 or more.Yes, please make this a recurring donation:MonthlyAnnuallyIf your donation is in tribute to someone special or from the proceeds of an event, please provide the details belowIn Honour ofIn Memory ofSpecial EventOtherPlease provide details*eg. Name of Person, Event, etcIf you would like a note sent, please enter the note and the address to where it can be sent:I would like more information about making a donation in my will Yes, I would like more information about making a donation in my will Step 2 - Your Tax Receipt and Contact InformationFirst Name*Last Name*Organization (if applicable)E-Mail Address:* Phone Number:*Extension:Type of Phone Number:*HomeBusinessMobileAddress* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Step 3 – Your Giving MethodPayment Method:*ChequeCredit CardCredit Card Type:*VisaMastercardAmerican ExpressExact Name on Credit Card:*Credit Card Number:*Credit Card Expiry Month:*Select One010203040506070809101112Credit Card Expiry Year:*Select One20152016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040To send your gift by mail, please make your cheque payable to: Big Sisters of BC Lower Mainland 34 E. 12th Avenue, Vancouver, BC V5T 2G5 To make your gift by phone, please call 604-873- 4525 ext. 321 Check here if you do not wish to receive information from Big Sisters of BC Lower Mainland (program updates, newsletters, event invitations). This iframe contains the logic required to handle Ajax powered Gravity Forms.