Donation Type: Use where needed mostr
If other: 

Donation Amount: 85

First Name: Nalish
Last Name: Francis
Business/Organization Name: FORVAN Financial Firm Inc
Email: nalish.francis@forvanfinancial.com
Phone: 416-855-3888

Address: 57 Montebello Crescent
City: Ajax
Province: ON
Postal Code: L1T 4P2

Membership number: 

Yes, I give KCLC permission to debit my account each month in the amount indicated. I understand that this transaction will continue until I otherwise notify KCLC.

Message:


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