COPY - COPY - Palliacco's General Fund

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COPY - COPY - Palliacco's General Fund 
Donation
Identification
Payment
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What type of receipt do you want?
							Individual
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How often would you like to donate?
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When would you like the direct debit to be proceeded?
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What is the type of your donation?
							Unique
							En hommage à
What is the amount of your donation?
							$100.00
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							$1,000.00
							Other
Custom amount
									
									
									
								
What is the amount of your donation?
							$10.00
							$20.00
							$50.00
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Custom amount
									
									
									
								
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Thanks to our partner
Address2280 Rue Labelle
Mont-Tremblant, Quebec
J8E 1T8
Phone number855 717-9646
Email						    info@palliacco.org

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