Connect Well Community Health (Renfrew County) General Donation
*
Indicates a required field
All Renfrew County donations go to the Renfrew County ConnectWell Community Health Centre
*
First Name:
*
Last Name:
*
Email:
*
Address 1:
Address 2:
*
City:
*
Province:
*
Postal Code:
*
Phone Number:
Donations of $20.00 or more will receive a charitable receipt.
*
Donation Amount:
Special Instructions:
