Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Who's donating today? *Donating as an individualDonating on behalf of a corporation (no tax receipt provided)Donating on behalf of a Lions club (no tax receipt provided)Donation to (Please Enter Employee Full Name) Fundraising Campaign *Employee Location *Choose a LocationAbbotsfordAjax - SouthwoodBancroftBarrieBarry’s BayBowmanvilleBramptonBrantfordBrockvilleBurnhamBurlingtonBurnabyCalgary - BeddingtonCalgary - BonavistaCalgary - RockyviewCambridgeCambridge - PinebushCamroseCarbonearCasselmanChathamChestermereChilliwackCourticeDartmouth - AlderneyDelhiDorchesterCambridge - DeltaEdmonton – Bonnie Doon MallEdmonton – Heritage SquareEdmonton – John Roberts CentreEdmonton – NortheastEdmonton – Riverbend SquareEdmonton – West End Medical BuildingFort McMurrayFort St. JohnGlencoeGrande PrairieGravenhurstHaliburtonHalifaxHamilton LowerHanoverIngersollKamloopsKelownaKemptvilleKeswickKingstonKingsvilleKomokaLacombeLangleyLendrumLethbridgeListowelLondonMaple RidgeMidlandMiltonMindenMississauga Back OfficeMississauga - QueenswayMississauga - North ServiceNanaimoNapaneeNew WestminsterNewcastleNewmarketNiagara FallsNorth VancouverOakville - PostmasterOakville - TrafalgarOakville - Upper MiddleOrilliaOrleansOshawaOshawa - Keith Ross Dr (Taunton)Ottawa SmythParksvilleParry SoundPeace RiverPenetanguishenePort DoverPort ElginPort PerryPort UnionPrince RupertQualicumRed Deer SouthReginaRichmondRichmond HillRocklandSackvilleSaskatoonScarborough - Eglinton Ave (Brimley)Scarborough - Finch Ave (Bridlewood)Scarborough - LawrenceSelkirkSherwood Park – Synergy Wellness CentreSimcoeSouth SurreySpruce GroveSt BonifaceSt John'sSt. AlbertSt. CatharinesSt. ThomasSt. Thomas - Centre StStoney CreekStony PlainStouffvilleStratfordStratford 2StrathroySunridgeSurreyTerraceThoroldThunder BayToronto - BayviewToronto - Bayview VillageToronto – DanforthVancouver - ArbutusVictoriaVirgilWaterdownWaterloo - Boardwalk #430Waterloo - Erb StWaterloo II - Boardwalk #407WetaskiwinWhitby - Dundas St (West Lynde)Whitby - Brock St NorthWinnipeg - Crestview MallWinnipeg - Linden WoodsWoodbridgeYarmouthYorktonWhat type of gift would you like to give? *One-TimeMonthlyChoose your gift amount *$25$75$150$250OtherChoose your gift amount *$10/month$25/month$35/month$50/monthOtherCustom Amount *As a token of our appreciation for your support, we invite you to enter our contest for a chance to win a free pair of hearing aids! 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