Online Donation

Use this form to make an online donation. If this is for something specific, please note that in the comment box.

Note: please check your spam folder for CCIS donation confirmation email.

For any questions, please email:

Campaign

Support to Keep us Going

First Name*

Last Name*

Organization

Address*

City

Province

Postal Code*

Country*

Email*

Phone

Comment

Amount

$ 20.00 $ 50.00 $ 100.00 $ 300.00 $ 500.00 $ 1,000.00 $ 5,000.00

Payment method *

Visa/ Master Card/ AMEX
Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card type*

Card Holder Name*

Verification code*

About Us