Donate To MCSSBN: 107706723RR0001 A&H Steel Fundraiser Let's make a difference this holiday season and support our local communities through A&H Steel Holiday Food Drive.DONATION DETAILSHiddenDonation YearHiddenDonation AmountEntered By: Date MM slash DD slash YYYY Confirmed By: Date MM slash DD slash YYYY Refunded By: Date MM slash DD slash YYYY Cancelled By: Date MM slash DD slash YYYY HiddenSend tax receipt? Yes No N/A HiddenDate Issued MM slash DD slash YYYY BYPASS PAYMENT? Yes No Select yes if you are entering a donation collected any other way than through this form (i.e. cash, cheque, gift in kind).DATE RECEIVED* MM slash DD slash YYYY TYPE*-- Select --CashChequeGift in KindCredit Card (manual)Credit Card (online)Canada HelpsOtherDESCRIPTION* Don't send notifications? Yes DONATE TO Christmas Bureau Choose a Fund FUNDGreatest Need911 FundEngaged Community Guide (ECG)Family PlaceGeneralMCSS Christmas BureauMCSS Food CentreMeals on WheelsMY HouseSeniors ConnectionStarFish PackHiddenHOW TO DONATE?You can choose to financially back the creation of hampers or commit to creating and delivering hampers to our food centre. Donate the value of selected hamper(s). Create and deliver physical hamper(s). FREQUENCY* One Time Pay Recurring Pay HiddenDonation Amount*AMOUNT* Food HampersPlease indicate the quantity of each hamper type you would like to sponsor. You can also indicate a custom amount in the "Custom Amount" field.Single Hampers Price: $ 120.00 CAD Quantity: Family of 2-3 Price: $ 130.00 CAD Quantity: Family of 4-5 Price: $ 160.00 CAD Quantity: Family of 6+ Price: $ 240.00 CAD Quantity: Custom Amount Total Cost:Christmas HamperPlease indicate the quantity of each type of hamper you will create and deliver to the MCSS Christmas Bureau at Unit 142 32555 London Ave, Mission, BC (next to The Source in the Junction Shopping Mall). For more information or ideas on what to include in a Food & Toy hamper please refer to the Toy Wishlist and Food Hamper Needed Items. You will be contacted and provided with more information about the family once we have a match. Please be patient, we have a great number of applications, and we do our best to do a match as quickly as possible. For more details, please refer to the Sponsorship Guidelines.Single HampersPlease enter a number greater than or equal to 0.Family of 2-3Please enter a number greater than or equal to 0.Family of 4-5Please enter a number greater than or equal to 0.Family of 6+Please enter a number greater than or equal to 0.MESSAGE FOR MISSION COMMUNITY SERVICES SOCIETY (OPTIONAL)DONOR & TAX RECEIPT INFORMATIONEMAIL* PHONEDONOR TYPE*PersonalCorporate/GroupNon-Profit/Group Ineligible for Tax ReceiptsDonation Collected on Behalf of MCSSAnonymousCOMPANY NAME/GROUP* Name* FIRST NAME LAST NAME ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi 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 PAYMENT INFORMATIONTotal Donation $ 0.00 CAD Credit Card* Cardholder Name Card Details PhoneThis field is for validation purposes and should be left unchanged.
