Donate to Build A Better, Brighter Future
| Donation Amount: | $ | I wish to donate anonymously: |
Your Information
| First Name | Last Name |
| Address | City |
| Province | Postal |
| Phone |
Please mail this form along with payment to:
Habitat for Humanity Brant-Norfolk
80 Morton Ave. E.
Brantford Ontario N3R 7J7
Canada
| Charity Registration No. 875384125RR0001 |
For information on all registered charities in Canada under the Income Tax Act please visit: http://www.cra.gc.ca/charities