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