Yes, I'd like to donate
to Healthy Beginnings!
 
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  To make a donation, please complete & print out the form below. You can send it to us by fax for by mail, or call us to make a donation, by credit card, over the phone.

Special note: Please make your donation through CanadaHelps.org to save us administration costs.
 
  Please mail the completed form to:
Healthy Beginnings
C/O 65 Heddington Ave.
Toronto, ON, M5N 2K7

Phone: 416.884.6663

Fax: 416.481.2098

 
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  Title:      
  First Name: Last Name:  
  Street Address: Apt/Suite #:  
  City/Town: Province:  
  Postal Code:      
           
  Phone # (home): Phone # Business:  
  Email Address:    
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  Amount of Donation      
 
$25 $50 $100 Other Amount (CAN$):
 
           
  Special note: Please make your donation through CanadaHelps.org to save us administration costs.
Payment Method: I would like to make by gift by:
 
 
Cheque Visa Mastercard
 
  Please make cheque payable to: Healthy Beginnings Charitable Corporation  
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  If you wish to give your gift "in honour" or "in memory" of someone special, please complete the following:  
  My gift is: in Honour of in Memory of  
  Title:      
  First Name: Last Name:  
  I wish an acknowledgement card to be sent to the following address:  
  Street Address: Apt/Suite #:  
  City/Town: Province:  
  Postal Code:      
           
  How would you like the acknowledgement card to be signed?  
  If you would like a special message to be added to the card, provide it here (max 50 characters).  
       
  Additional Comments:
 
   
     
  Thank you for your donation!