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I would like to donate the following from each deal I make (please check one):

$20 per deal can provide necessary school supplies for a child who escaped a violent home.
$30 per deal can supply a mom with the basics she needs for her newborn baby.
$50 per deal gives a woman access to legal, employment, financial and housing support.
$100 per deal feeds a mom and her child three nourishing meals a day for one month.
$ from each deal.
One-time donation of $ .
I would like to make a regular monthly donation of $ by credit card.
     (Contact me for my credit card information.)

You choose where your donation dollars are directed:

I want 100% of my donation to support my local shelter.
I want 50% of my donation to support my local shelter and 50% to support long-term solutions to break the cycle of violence through prevention and education programs in my province.

I understand and agree that I may cancel my commitment at any time by advising my office's Administrator and that, in so doing, I will cease all advertising associated with the Royal LePage Shelter Foundation.

Name Email
Office Date: 2019-04-25
Name of Administrator/Deal Secretary Email address of Administrator/Deal Secretary
Preferred language:

Can we publicize your support?

Yes, I agree to have my name published
No, I do not agree to have my name published

The Royal LePage Shelter Foundation issues tax receipts in late February for all donations you made in the previous calendar year.

Have a question? Call 416-386-6099 or email
100% of your donation supports this cause as Royal LePage Canada covers all operating costs.

  Charitable registration number: 882531304 RR0001