Step 1: Donation

I would like my donation to be a

One time gift
Recurrent

* All donations of $20 dollars or more will receive a tax receipt by mail.

I would like to donate to * Select one 35 Years of Hope Anniversary Campaign Mothers Day Mailer Memorial Donation COVID-19 Emergency Fund Interval House of Hamilton Hamilton Women's Center Flamborough Women's Center Jared's Place Room with a View MentorAction

Your name

I would like to donate *

I would to make this donation as a gift to someone else

Gift Recipient

* Recipient Name

Occassion

Recipient Address

Recipient Province Povince Ontario British Columbia Newfoundland and Labrador Nova Scotia Prince Edward Island New Brunswick Quebec Manitoba Saskatchewan Alberta Northwest Territories Nunavut Yukon Territory

Notify Recipient?

Additional Notes

I would like the tax receipt sent to Myself
External Recipient

I would like the tax receipt sent to

Tax Recipient

Recipient Name

Receiver Address

Receiver Province Povince * British Columbia Ontario Newfoundland and Labrador Nova Scotia Prince Edward Island New Brunswick Quebec Manitoba Saskatchewan Alberta Northwest Territories Nunavut Yukon Territory

Step 2: Contact & Billing Information

I give Interval House permission to contact me about future events.

Step 3: Payment Information

Name on card *

CC Number *

CC Type Select One Visa MasterCard Amex Dinners

Expiry Date