Celebrating Your Loved One

Your tribute gift will help provide a precious child with a new smile… and bring a smile to your loved one’s face too. Thank you for choosing to honour someone in this way.

If you would like an e-card sent on your behalf, please include the name of your honouree, your recipient’s email address, a special message, and choose an e-card design. Click the “ECARD PREVIEW” button to review your e-card before sending.

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Gift Information

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$500.00

$500

$240.00

$100.00

$50.00

$30.00

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Yes, this is an honour or memorial gift.

Honour Gift Type:

Honouree Name:

Send an eCard

Yes, I would like to send an eCard.

eCard Message (please note your personal message cannot exceed 250 characters):

Recipient email addresses (you can separate multiple emails with a comma or a new line):

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eCard Subject:

Send eCard on:Select month of credit card Select Expiration Year

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Billing Information

Corporate:

This donation is on behalf of a company

Company:

First Name:

Last Name:

Street 1:

Street 2:

City:

Province:

Postal Code:

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If you donate and have not already registered, you will receive periodic updates and communications from Operation Smile Canada .

Payment Details

Please note: all donation amounts are in Canadian currency and all tax creditable single gifts will receive a tax receipt by email.

*Please review all information prior to processing your life‑changing gift.

Additional Amount:

$2.25 Yes, I would like to cover the $2.25 processing fee to help make an even greater impact.

My single gift	$0
Transaction fee	$0

Total	$0

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Charitable Registration #: 84064 3605 RR0001

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