<p>This is a safe and secure way for you to donate to Kingsway Community Life Centre.</p>
<p>&nbsp;</p>

<p>Donation Type (required)<br /><span class="wpcf7-form-control-wrap donationtype"><select name="donationtype" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" id="donationtype" aria-required="true" aria-invalid="false" onchange="showOther();"><option value="">---</option><option value="Tithe">Tithe</option><option value="Offering">Offering</option><option value="Benevolence">Benevolence</option><option value="Building Fund">Building Fund</option><option value="Use where needed mostr">Use where needed most</option><option value="Other">Other</option></select></span></p>
<p id="otherbox" style="display:none;">If other, please specify:<br />[text other]</p>

<p>Donation Amount (required) (enter numbers only; ie ###)<br />
    [number* donationamount id:donationamount] </p>

<p>First Name (required)<br />
    [text* first-name] </p>

<p>Last Name (required)<br />
    [text* last-name] </p>

<p>Business/Organization Name (if applicable)<br />
    [text business-name] </p>

<p>Email (required)<br />
    [email* your-email] </p>

<p>Phone (optional)<br />
    [text phone] </p>

<p>Address (required)<br />
    [text* address] </p>

<p>City (required)<br />
    [text* city] </p>

<p>Province (required)<br />
    [text* province] </p>

<p>Postal Code (required)<br />
    [text* postal-code] </p>

<p>Membership Number (if applicable)<br />
    [text membership] </p>

<p>Message (optional)<br />
    [textarea your-message] </p>

[recaptcha]

<p>[submit "Proceed to Payment via PayPal"]</p>

<p style="font-size:0.9em; font-style:italic;">All donations to Kingsway Community Life Centre are income tax deductible and are made with the understanding that KCLC has complete discretion and control over the use of all donated funds.</p>