GET INVOLVED Make a Donation Donation Form

Donation Form

DONATION FORM

CONTACT INFORMATION

YOUR FIRST NAME *
YOUR LAST NAME *
ADDRESS *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
EMAIL *
PHONE *

IF THIS IS A GIFT DONATION...

Name of the recipient
Address of Recipient
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email of recipient - if known
Phone number of recipient - if known

IF THIS IS AN "IN MEMORIAM" DONATION

Name of person in whose memory the gift is being made
Name of contact person If you would like notification to be made
Email of contact person If you would like notification to be made

Other

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Payment Options

SQUARE: coming soon

BY CHEQUE: Please make cheques payable to “Sheringham Point Lighthouse Preservation Society”, and mail to: Box 1002, Sooke, BC V9Z 1J1

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