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ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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 therapyEvery Child Has A Right To PlayCamp Massawippi Fund Allocation:*Camp’s greatest needsMAB-Mackay Fund Allocation:*Most Urgent NeedsVisual Impairment ProgramsDeaf & Hard of Hearing ProgramsMotor ProgramsCommunication Disorders ProgramsMultiple Impairment ProgramsSpecialized 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 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Card Type* Personal Business Donation Amount $ 0.00 CAD CAPTCHAUnique IDNameThis field is for validation purposes and should be left unchanged. Δ