Annual Campaign 2022 Together Donation Form

Annual Campaign 2022 Together Donation Form

For assistance with your donation to Holy Blossom Temple, please call (416) 789-3291 ext. 227.

Donor Information

First Name

Last Name

Address

City

Province/State

Please Specify

Postal Code

Is this a payment on an existing pledge?

YesNo

Donation Information

Donation Amount

CDN

Payment Method

Preferred Payment Plan

Add 2.5% to my donation to offset credit card processing fees

YesNo

Adjusted Total

2.5% fee

CDN

Revised Donation Amount

CDN

Please list your name(s) as you would like them to appear in Temple communications or write ‘anon’ if your donation is anonymous.

Note: All donations will be recognized on the virtual donor wall, and donations of $720 and up will be recognized on the Bathurst Entry Donor Wall.

Payment Information

Payment Amount

CDN

*Payment will commence once this form is submitted

First Name

Last Name

Credit Card Number

Visa or Mastercard

Expiry Month

Expiry Year

*Billing Address must match the address listed above

Tax Receipting

Please note tax receipts will be issued annually in February of the following year by email for all donations totalling $18 or more

Cheque Information

Please make cheque payable to Holy Blossom Temple
Please ensure it says Annual Campaign 2022 in the note

Cheques can be mailed to:

Holy Blossom Temple ATTN: Ella Vatagsky

1950 Bathurst Street

Toronto, ON M5P 2K9

Hidden Fields

Final Donation

Total Donation

Designation ID

Authnet_Hidden_Fields

Contact Information