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ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country TelephoneEmail* Payment DetailsHiddenFund Allocation:*Most Urgent NeedsExceptional Child CampaignMAB-Mackay SiteConstance-Lethbridge SiteCamp MassawippiAction CentreSpecialized Schools (Mackay Centre & Philip E. Layton schools)Visual Impairment Programs (Children & Youth)Visual Impairment Programs (Adults & Seniors)Deaf & Hard of Hearing Programs (Children & Youth)Deaf & Hard of Hearing Programs (Adults & Seniors)Motor Programs (Children & Youth)Motor Programs (Adults & Seniors)Communication Disorders Programs (Children & Youth)Communication Disorders Programs (Adults & Seniors)Multiple Impairment Programs (Children & Youth)Alexandre Bilodeau Fund for Adapted Sports“Finding Your Voice” Langburt/Kurlender Family documentary presentationFonds d'urgence Covid-19 Emergency FundCamp Massawippi Capital CampaignHABILITAS Most Urgent NeedsCOVID-19 Holiday Fund for pediatric therapyCamp Massawippi Fund Allocation:*Camp’s greatest needsDining Hall Capital CampaignMassawippi Magic fund (subsidize a camper)Adapted day camp in MontrealCampagne « Les pieds dans l’eau »MAB-Mackay Fund Allocation:*Most Urgent NeedsExceptional Child CampaignVisual Impairment Programs (Children & Youth)Visual Impairment Programs (Adults & Seniors)Deaf & Hard of Hearing Programs (Children & Youth)Deaf & Hard of Hearing Programs (Adults & Seniors)Motor Programs (Children & Youth)Motor Programs (Adults & Seniors)Communication Disorders Programs (Children & Youth)Communication Disorders Programs (Adults & Seniors)Multiple Impairment Programs (Children & Youth)Alexandre Bilodeau Fund for Adapted SportsSpecialized Schools (Mackay Centre & Philip E. Layton schools)Comments / Special Instructions We will contact you to complete the billing setup for your monthly donation. Please submit this form and we will contact you shortly. Credit Card* American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Card Type* Personal Business Donation Amount $ 0.00 CAD CAPTCHAUnique IDPhoneThis field is for validation purposes and should be left unchanged.
