{name} has sent in a donation to the Foundation

Amount of Donation (in dollars): {donation_amount}

Amount in dollars if making other donation: {other_donation_amount}

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If charging to credit card: Type of Card: {charge_by}
Name as it appears on the card: {name_on_card}
Card Number: {card_number}
Expires: {expiry_date_month} / {expiry_date_year}

Please send tax receipt to: {name}
{street_address} {city}
{province} {postal_code}
{email_address}

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Would prefer donation be used at the following care facility: {location_of_resident}

I have further wishes for my donation: {further_wishes}

Would like to give monthly donation with credit card: {would_like_to_give_monthly_gift}
Type of Card: {charge_by}
Name as it appears on the card: {name_on_card}

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Would like to be contacted to discuss giving publicly traded-shares of stock to the foundation: {contact_to_give_shares}

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Would like to be contacted to discuss leaving a legacy of care: {send_info_on_planned_gift}

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This donation is a "{type_of_gift}" gift (*if no type specified, ignore this section).
Name of the person who is being honoured by this gift: {name_of_person_being_honoured}
Name and address of the person to notify that donation has been made: {name_person_to_notify_of_donation}
Address of person to be notified: {address_of_person_to_notify_of_donation}
Phone number of person to be notified: {phone_number_of_person_to_notify_of_donation2}
Relationship to the deceased/person being honoured: {relationship_to_person_being_honoured}