donate.als.ca
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Submitted URL: https://ca.engagingnetworks.app/page/email/click/2359/6224907?email=1BKDfPqhMTUKchNqRbPdE0f3QB%2BnGs03LNhnYwwEOHiZkArzVWMSmA==&c...
Effective URL: https://donate.als.ca/page/117430/donate/1
Submission: On January 03 via manual from IN — Scanned from DE
Effective URL: https://donate.als.ca/page/117430/donate/1
Submission: On January 03 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST /page/117430/donate/2
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<div class="en__component en__component--copyblock" style="
">
<h1>Please give the gift of hope</h1>
<p>Help people living with ALS today, while supporting tomorrow’s treatments.</p>
<p>Your generous donation will help people and their families living with ALS in Ontario to access community-based support including home visits, support groups and connections to health system partners. Your gift will also be directed to
research that will help to make ALS treatable, not terminal.</p>
<p>Thank you for your support!</p>
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<div class="en__field en__field--radio en__field--1444203 en__field--recurrpay en__mandatory">
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<p id="fee-info" style="display: none;"></p>
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<div class="en__field en__field--checkbox en__field--1444173 en__field--inmem">
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<div class="en__field en__field--select en__field--1444172 en__field--trbopts en__hidden">
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<div class="en__field en__field--text en__field--1444167 en__field--NOT_TAGGED_18">
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<div class="en__field en__field--select en__field--1444178 en__field--gftrsn en__hidden">
<label for="en__field_transaction_gftrsn" class="en__field__label" style="">Would you like ALS Canada to send a card on your behalf?</label>
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<div class="en__field en__field--select en__field--1444208 en__field--NOT_TAGGED_24 en__hidden">
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<option selected="selected" value="nil">---Please Select---</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Mx.">Mx.</option>
<option value="Mr & Mrs.">Mr & Mrs.</option>
<option value="Mr. & Mr.">Mr. & Mr.</option>
<option value="Mrs. & Mrs.">Mrs. & Mrs.</option>
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<div class="en__field en__field--select en__field--1444200 en__field--infreg en__mandatory en__hidden">
<label for="en__field_transaction_infreg" class="en__field__label" style="">Recipient Province/State</label>
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<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
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<option value="LA">Louisiana</option>
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<option value="MO">Missouri</option>
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<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
<div class="en__field en__field--text en__field--1444180 en__field--infpostcd en__mandatory en__hidden">
<label for="en__field_transaction_infpostcd" class="en__field__label" style="">Recipient Postal Code</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_infpostcd" type="text" class="en__field__input en__field__input--text" name="transaction.infpostcd" value="" aria-required="true" disabled="">
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</div>
<div class="en__field en__field--select en__field--1444210 en__field--infcountry en__mandatory en__hidden">
<label for="en__field_transaction_infcountry" class="en__field__label" style="">Recipient Country</label>
<div class="en__field__element en__field__element--select">
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<option value="GBR">United Kingdom</option>
<option value="AFG">Afghanistan</option>
<option value="ALA">Åland Islands</option>
<option value="ALB">Albania</option>
<option value="DZA">Algeria</option>
<option value="ASM">American Samoa</option>
<option value="AND">Andorra</option>
<option value="AGO">Angola</option>
<option value="AIA">Anguilla</option>
<option value="ATA">Antarctica</option>
<option value="ATG">Antigua and Barbuda</option>
<option value="ARG">Argentina</option>
<option value="ARM">Armenia</option>
<option value="ABW">Aruba</option>
<option value="AUS">Australia</option>
<option value="AUT">Austria</option>
<option value="AZE">Azerbaijan</option>
<option value="BHS">Bahamas</option>
<option value="BHR">Bahrain</option>
<option value="BGD">Bangladesh</option>
<option value="BRB">Barbados</option>
<option value="BLR">Belarus</option>
<option value="BEL">Belgium</option>
<option value="BLZ">Belize</option>
<option value="BEN">Benin</option>
<option value="BMU">Bermuda</option>
<option value="BTN">Bhutan</option>
<option value="BOL">Bolivia, Plurinational State of</option>
<option value="BES">Bonaire, Sint Eustatius and Saba</option>
<option value="BIH">Bosnia and Herzegovina</option>
<option value="BWA">Botswana</option>
<option value="BVT">Bouvet Island</option>
<option value="BRA">Brazil</option>
<option value="IOT">British Indian Ocean Territory</option>
<option value="BRN">Brunei Darussalam</option>
<option value="BGR">Bulgaria</option>
<option value="BFA">Burkina Faso</option>
<option value="BDI">Burundi</option>
<option value="CPV">Cabo Verde</option>
<option value="KHM">Cambodia</option>
<option value="CMR">Cameroon</option>
<option value="CYM">Cayman Islands</option>
<option value="CAF">Central African Republic</option>
<option value="TCD">Chad</option>
<option value="CHL">Chile</option>
<option value="CHN">China</option>
<option value="CXR">Christmas Island</option>
<option value="CCK">Cocos (Keeling) Islands</option>
<option value="COL">Colombia</option>
<option value="COM">Comoros</option>
<option value="COG">Congo</option>
<option value="COD">Congo, the Democratic Republic of the</option>
<option value="COK">Cook Islands</option>
<option value="CRI">Costa Rica</option>
<option value="CIV">Côte d'Ivoire</option>
<option value="HRV">Croatia</option>
<option value="CUB">Cuba</option>
<option value="CUW">Curaçao</option>
<option value="CYP">Cyprus</option>
<option value="CZE">Czech Republic</option>
<option value="DNK">Denmark</option>
<option value="DJI">Djibouti</option>
<option value="DMA">Dominica</option>
<option value="DOM">Dominican Republic</option>
<option value="ECU">Ecuador</option>
<option value="EGY">Egypt</option>
<option value="SLV">El Salvador</option>
<option value="GNQ">Equatorial Guinea</option>
<option value="ERI">Eritrea</option>
<option value="EST">Estonia</option>
<option value="ETH">Ethiopia</option>
<option value="FLK">Falkland Islands (Malvinas)</option>
<option value="FRO">Faroe Islands</option>
<option value="FJI">Fiji</option>
<option value="FIN">Finland</option>
<option value="FRA">France</option>
<option value="GUF">French Guiana</option>
<option value="PYF">French Polynesia</option>
<option value="ATF">French Southern Territories</option>
<option value="GAB">Gabon</option>
<option value="GMB">Gambia</option>
<option value="GEO">Georgia</option>
<option value="DEU">Germany</option>
<option value="GHA">Ghana</option>
<option value="GIB">Gibraltar</option>
<option value="GRC">Greece</option>
<option value="GRL">Greenland</option>
<option value="GRD">Grenada</option>
<option value="GLP">Guadeloupe</option>
<option value="GUM">Guam</option>
<option value="GTM">Guatemala</option>
<option value="GGY">Guernsey</option>
<option value="GIN">Guinea</option>
<option value="GNB">Guinea-Bissau</option>
<option value="GUY">Guyana</option>
<option value="HTI">Haiti</option>
<option value="HMD">Heard Island and McDonald Islands</option>
<option value="VAT">Holy See (Vatican City State)</option>
<option value="HND">Honduras</option>
<option value="HKG">Hong Kong</option>
<option value="HUN">Hungary</option>
<option value="ISL">Iceland</option>
<option value="IND">India</option>
<option value="IDN">Indonesia</option>
<option value="IRN">Iran, Islamic Republic of</option>
<option value="IRQ">Iraq</option>
<option value="IRL">Ireland</option>
<option value="IMN">Isle of Man</option>
<option value="ISR">Israel</option>
<option value="ITA">Italy</option>
<option value="JAM">Jamaica</option>
<option value="JPN">Japan</option>
<option value="JEY">Jersey</option>
<option value="JOR">Jordan</option>
<option value="KAZ">Kazakhstan</option>
<option value="KEN">Kenya</option>
<option value="KIR">Kiribati</option>
<option value="PRK">Korea, Democratic People's Republic of</option>
<option value="KOR">Korea, Republic of</option>
<option value="KWT">Kuwait</option>
<option value="KGZ">Kyrgyzstan</option>
<option value="LAO">Lao People's Democratic Republic</option>
<option value="LVA">Latvia</option>
<option value="LBN">Lebanon</option>
<option value="LSO">Lesotho</option>
<option value="LBR">Liberia</option>
<option value="LBY">Libya</option>
<option value="LIE">Liechtenstein</option>
<option value="LTU">Lithuania</option>
<option value="LUX">Luxembourg</option>
<option value="MAC">Macao</option>
<option value="MKD">Macedonia, the former Yugoslav Republic of</option>
<option value="MDG">Madagascar</option>
<option value="MWI">Malawi</option>
<option value="MYS">Malaysia</option>
<option value="MDV">Maldives</option>
<option value="MLI">Mali</option>
<option value="MLT">Malta</option>
<option value="MHL">Marshall Islands</option>
<option value="MTQ">Martinique</option>
<option value="MRT">Mauritania</option>
<option value="MUS">Mauritius</option>
<option value="MYT">Mayotte</option>
<option value="MEX">Mexico</option>
<option value="FSM">Micronesia, Federated States of</option>
<option value="MDA">Moldova, Republic of</option>
<option value="MCO">Monaco</option>
<option value="MNG">Mongolia</option>
<option value="MNE">Montenegro</option>
<option value="MSR">Montserrat</option>
<option value="MAR">Morocco</option>
<option value="MOZ">Mozambique</option>
<option value="MMR">Myanmar</option>
<option value="NAM">Namibia</option>
<option value="NRU">Nauru</option>
<option value="NPL">Nepal</option>
<option value="NLD">Netherlands</option>
<option value="NCL">New Caledonia</option>
<option value="NZL">New Zealand</option>
<option value="NIC">Nicaragua</option>
<option value="NER">Niger</option>
<option value="NGA">Nigeria</option>
<option value="NIU">Niue</option>
<option value="NFK">Norfolk Island</option>
<option value="MNP">Northern Mariana Islands</option>
<option value="NOR">Norway</option>
<option value="OMN">Oman</option>
<option value="PAK">Pakistan</option>
<option value="PLW">Palau</option>
<option value="PSE">Palestine, State of</option>
<option value="PAN">Panama</option>
<option value="PNG">Papua New Guinea</option>
<option value="PRY">Paraguay</option>
<option value="PER">Peru</option>
<option value="PHL">Philippines</option>
<option value="PCN">Pitcairn</option>
<option value="POL">Poland</option>
<option value="PRT">Portugal</option>
<option value="PRI">Puerto Rico</option>
<option value="QAT">Qatar</option>
<option value="REU">Réunion</option>
<option value="ROU">Romania</option>
<option value="RUS">Russian Federation</option>
<option value="RWA">Rwanda</option>
<option value="BLM">Saint Barthélemy</option>
<option value="SHN">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KNA">Saint Kitts and Nevis</option>
<option value="LCA">Saint Lucia</option>
<option value="MAF">Saint Martin (French part)</option>
<option value="SPM">Saint Pierre and Miquelon</option>
<option value="VCT">Saint Vincent and the Grenadines</option>
<option value="WSM">Samoa</option>
<option value="SMR">San Marino</option>
<option value="STP">Sao Tome and Principe</option>
<option value="SAU">Saudi Arabia</option>
<option value="SEN">Senegal</option>
<option value="SRB">Serbia</option>
<option value="SYC">Seychelles</option>
<option value="SLE">Sierra Leone</option>
<option value="SGP">Singapore</option>
<option value="SXM">Sint Maarten (Dutch part)</option>
<option value="SVK">Slovakia</option>
<option value="SVN">Slovenia</option>
<option value="SLB">Solomon Islands</option>
<option value="SOM">Somalia</option>
<option value="ZAF">South Africa</option>
<option value="SGS">South Georgia and the South Sandwich Islands</option>
<option value="SSD">South Sudan</option>
<option value="ESP">Spain</option>
<option value="LKA">Sri Lanka</option>
<option value="SDN">Sudan</option>
<option value="SUR">Suriname</option>
<option value="SJM">Svalbard and Jan Mayen</option>
<option value="SWZ">Swaziland</option>
<option value="SWE">Sweden</option>
<option value="CHE">Switzerland</option>
<option value="SYR">Syrian Arab Republic</option>
<option value="TWN">Taiwan</option>
<option value="TJK">Tajikistan</option>
<option value="TZA">Tanzania, United Republic of</option>
<option value="THA">Thailand</option>
<option value="TLS">Timor-Leste</option>
<option value="TGO">Togo</option>
<option value="TKL">Tokelau</option>
<option value="TON">Tonga</option>
<option value="TTO">Trinidad and Tobago</option>
<option value="TUN">Tunisia</option>
<option value="TUR">Turkey</option>
<option value="TKM">Turkmenistan</option>
<option value="TCA">Turks and Caicos Islands</option>
<option value="TUV">Tuvalu</option>
<option value="UGA">Uganda</option>
<option value="UKR">Ukraine</option>
<option value="ARE">United Arab Emirates</option>
<option value="UMI">United States Minor Outlying Islands</option>
<option value="URY">Uruguay</option>
<option value="UZB">Uzbekistan</option>
<option value="VUT">Vanuatu</option>
<option value="VEN">Venezuela, Bolivarian Republic of</option>
<option value="VNM">Viet Nam</option>
<option value="VGB">Virgin Islands, British</option>
<option value="VIR">Virgin Islands, U.S.</option>
<option value="WLF">Wallis and Futuna</option>
<option value="ESH">Western Sahara</option>
<option value="YEM">Yemen</option>
<option value="ZMB">Zambia</option>
<option value="ZWE">Zimbabwe</option>
</select>
</div>
</div>
<div class="en__field en__field--textarea en__field--1444181 en__field--comments en__hidden">
<label for="en__field_transaction_comments" class="en__field__label" style="">Personal message to include in card</label>
<div class="en__field__element en__field__element--textarea">
<textarea id="en__field_transaction_comments" class="en__field__input en__field__input--textarea" name="transaction.comments" maxlength="2000" disabled=""></textarea>
</div>
</div>
</div>
<div class="en__component en__component--copyblock" style="
">
<h1>Donor Information</h1>
</div>
<div class="en__component en__component--formblock" style="">
<div class="en__field en__field--checkbox en__field--1444179 en__field--othamt1">
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_transaction_othamt1" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.othamt1">
<label for="en__field_transaction_othamt1" class="en__field__label en__field__label--item">I am making this gift on behalf of an organization or company</label>
</div>
</div>
</div>
<div class="en__field en__field--text en__field--1444174 en__field--NOT_TAGGED_1 en__mandatory en__hidden">
<label for="en__field_supporter_NOT_TAGGED_1" class="en__field__label" style="">Organization Name</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_NOT_TAGGED_1" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_1" value="" aria-required="true" disabled="">
</div>
<h1>Contact Information</h1>
</div>
<div class="en__field en__field--select en__field--1444205 en__field--title">
<label for="en__field_supporter_title" class="en__field__label" style="">Title</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_supporter_title" class="en__field__input en__field__input--select" name="supporter.title">
<option selected="selected" value="Nil">---Please Select---</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Mx">Mx</option>
<option value="Mr. & Mrs.">Mr. & Mrs.</option>
<option value="Mr. & Mr.">Mr. & Mr.</option>
<option value="Mrs. & Mrs.">Mrs. & Mrs.</option>
<option value="Dr.">Dr.</option>
<option value="Prof.">Prof.</option>
</select>
</div>
</div>
<div class="en__field en__field--text en__field--1444196 en__field--firstName en__mandatory">
<label for="en__field_supporter_firstName" class="en__field__label" style="">First Name</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_firstName" type="text" class="en__field__input en__field__input--text" name="supporter.firstName" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--text en__field--1444187 en__field--middleName">
<label for="en__field_supporter_middleName" class="en__field__label" style="">Middle Name</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_middleName" type="text" class="en__field__input en__field__input--text" name="supporter.middleName" value="">
</div>
</div>
<div class="en__field en__field--text en__field--1444191 en__field--lastName en__mandatory">
<label for="en__field_supporter_lastName" class="en__field__label" style="">Last Name</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_lastName" type="text" class="en__field__input en__field__input--text" name="supporter.lastName" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--text en__field--1444195 en__field--emailAddress en__mandatory">
<label for="en__field_supporter_emailAddress" class="en__field__label" style="">Email Address</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_emailAddress" type="text" class="en__field__input en__field__input--text" name="supporter.emailAddress" value="" aria-required="true">
</div>
</div><input type="hidden" class="en__field__input--hidden" name="supporter.sendOffset" value="+00:00">
<div class="en__field en__field--text en__field--1444185 en__field--address1 en__mandatory">
<label for="en__field_supporter_address1" class="en__field__label" style="">Street Address 1</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_address1" type="text" class="en__field__input en__field__input--text" name="supporter.address1" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--text en__field--1444199 en__field--address2">
<label for="en__field_supporter_address2" class="en__field__label" style="">Street Address 2</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_address2" type="text" class="en__field__input en__field__input--text" name="supporter.address2" value="">
</div>
</div>
<div class="en__field en__field--text en__field--1444206 en__field--city en__mandatory">
<label for="en__field_supporter_city" class="en__field__label" style="">City</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_city" type="text" class="en__field__input en__field__input--text" name="supporter.city" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--select en__field--withOther en__field--1444209 en__field--region en__mandatory">
<label for="en__field_supporter_region" class="en__field__label" style="">Province</label>
<div class="en__field__element en__field__element--select">
<div class="en__field__item">
<select id="en__field_supporter_region" class="en__field__input en__field__input--select" name="supporter.region" aria-required="true">
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</option>
<option value="YT">Yukon</option>
</select>
</div>
<div class="en__field__item en__field__item--other en__field__item--hidden">
<input class="en__field__input en__field__input--other" type="text" name="supporter.region.other" value="" aria-required="true">
</div>
</div>
</div>
<div class="en__field en__field--text en__field--1444190 en__field--postcode en__mandatory">
<label for="en__field_supporter_postcode" class="en__field__label" style="">Postal Code</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_postcode" type="text" class="en__field__input en__field__input--text" name="supporter.postcode" value="" aria-required="true" title="Enter postal code in format A1A 1A1"
pattern="[ABCEGHJKLMNPRSTVXY][0-9][ABCEGHJKLMNPRSTVWXYZ] ?[0-9][ABCEGHJKLMNPRSTVWXYZ][0-9]">
</div>
</div>
<div class="en__field en__field--select en__field--1444211 en__field--country en__mandatory">
<label for="en__field_supporter_country" class="en__field__label" style="">Country</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_supporter_country" class="en__field__input en__field__input--select" name="supporter.country" aria-required="true">
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option selected="selected" value="CA">Canada</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State of</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia, the former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
<div class="en__field en__field--text en__field--1444192 en__field--phoneNumber2">
<label for="en__field_supporter_phoneNumber2" class="en__field__label" style="">Cell Phone</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_phoneNumber2" type="text" class="en__field__input en__field__input--text" name="supporter.phoneNumber2" value="">
</div>
</div>
<div class="en__field en__field--text en__field--1444186 en__field--phoneNumber">
<label for="en__field_supporter_phoneNumber" class="en__field__label" style="">Home Phone</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_phoneNumber" type="text" class="en__field__input en__field__input--text" name="supporter.phoneNumber" value="">
</div>
</div>
</div>
<div class="en__component en__component--copyblock" style="
">
<h1>Payment Information</h1>
</div>
<div class="en__component en__component--formblock" style="">
<input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.paycurrency" value="CAD">
<div class="en__field en__field--select en__field--1444201 en__field--paymenttype en__mandatory">
<label for="en__field_transaction_paymenttype" class="en__field__label" style="">Payment Type</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_transaction_paymenttype" class="en__field__input en__field__input--select" name="transaction.paymenttype" aria-required="true">
<option value="Visa">Visa</option>
<option value="Mastercard">Mastercard</option>
<option value="Amex">American Express</option>
<option value="Paypal">PayPal</option>
</select>
</div>
</div>
<input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrfreq" value="MONTHLY">
<div class="en__field en__field--text en__field--1444183 en__field--ccnumber en__mandatory">
<label for="en__field_transaction_ccnumber" class="en__field__label" style="">Credit Card Number</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_ccnumber" type="text" class="en__field__input en__field__input--text" name="transaction.ccnumber" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--text en__field--1444175 en__field--creditCardHolderName en__mandatory">
<label for="en__field_supporter_creditCardHolderName" class="en__field__label" style="">Card Holder Name</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_creditCardHolderName" type="text" class="en__field__input en__field__input--text" name="supporter.creditCardHolderName" value="" aria-required="true">
</div>
</div>
<div class="en__field en__field--text en__field--1444169 en__field--ccvv en__mandatory">
<label for="en__field_transaction_ccvv" class="en__field__label" style="">CVV</label><a href="#" onclick="return false;" id="cvv-toggle">(?)</a>
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<input id="en__field_transaction_ccvv" type="text" class="en__field__input en__field__input--text" name="transaction.ccvv" value="" aria-required="true">
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<table id="cvv-table" cellpadding="0" cellspacing="0" border="0" width="100%">
<tbody>
<tr>
<td colspan="2">
<h2>Where is my Card Security Number?</h2>
</td>
</tr>
<tr>
<td width="45%" style="padding: 5px 0px 15px 0px; font-weight: bold">Visa and MasterCard users</td>
<td style="padding: 5px 0px 15px 15px; font-weight: bold">American Express users</td>
</tr>
<tr>
<td style="padding: 0px 0px 15px 0px">The Card Security Number is the 3-digit number located on the back of your card, usually at the top of the signature strip.</td>
<td style="padding: 0px 0px 15px 15px">Look for the 4-digit number printed on the front of your card. Depending on which card you have, you'll find this number in small type above your credit card's main number on either the left or
right side.</td>
</tr>
<tr>
<td style="padding: 0px 0px 15px 0px"><img src="https://secure.alsevents.ca/registrant/images/visa.gif"></td>
<td style="padding: 0px 0px 15px 15px"><img src="https://secure.alsevents.ca/registrant/images/amex2.gif"></td>
</tr>
<tr>
<td style="font-weight: bold" colspan="2">What is the Card Security Number for on my credit card?</td>
</tr>
<tr>
<td style="padding: 0px 0px 15px 0px" colspan="2">A Card Security Number is a unique security feature of Visa, MasterCard and American Express credit cards. By including it with your transaction, you can help protect your account from
fraud and you give us one more way of being sure your transaction is legitimate.</td>
</tr>
<tr>
<td colspan="2"><input name="buttonClose" type="button" id="buttonClose" value="Close"></td>
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<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
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<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
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<label for="en__field_supporter_questions_1321396" class="en__field__label en__field__label--item">I give permission for the ALS Society of Canada to contact me digitally about its activities and how I can support its mission and work
toward a future without ALS. I can withdraw my consent at any time.</label>
</div>
</div>
</div>
<div class="en__field en__field--checkbox en__field--question en__field--1321419 en__field--estate-giving-information">
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<label for="en__field_supporter_questions_1321419" class="en__field__label en__field__label--item">I would like to receive more information about leaving a gift in my will to the ALS Society of Canada.</label>
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<label for="en__field_supporter_questions_1321420" class="en__field__label en__field__label--item">I have left a gift in my will to the ALS Society of Canada.</label>
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<option value="A - I am a person living with ALS">I am a person living with ALS</option>
<option value="B - I am a caregiver for someone living with ALS">I am a caregiver for someone living with ALS</option>
<option value="C - I have lost a friend/family member to ALS">I have lost a friend/family member to ALS</option>
<option value="Other">Other</option>
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</div>
<div class="en__submit"><button style="">Donate Now</button></div>
</div>
<div class="en__component en__component--copyblock" style="
">
<p style="font-size:13px; line-height: 1.6;"><span style="color: rgb(0, 0, 0); font-family: Arial; font-size: 13.3333px; white-space: pre-wrap;">If you would like ALS Canada to mail a tribute card on your behalf, please phone our Donor
Services team at 1-800-267-4257 and Press 3.</span></p>
<p style="font-size:13px; line-height: 1.6;">The ALS Society of Canada hopes to raise $150,000 this year through fundraising campaigns and initiatives in Alberta. It will cost the organization approximately $30,000 to raise this amount. Funds
raised will support ALS Canada’s mission. For further information, please contact Jessica Alvarado at 1-800-267-4257.</p>
</div>
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<style>
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$(document).ready(function() {
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$('#en__field_supporter_NOT_TAGGED_93').on('change', function() {
sessionStorage.setItem('ecard', $('#en__field_supporter_NOT_TAGGED_22').val());
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right: 10px;
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</div>
</div>
</form>Text Content
Français PLEASE GIVE THE GIFT OF HOPE Help people living with ALS today, while supporting tomorrow’s treatments. Your generous donation will help people and their families living with ALS in Ontario to access community-based support including home visits, support groups and connections to health system partners. Your gift will also be directed to research that will help to make ALS treatable, not terminal. Thank you for your support! My donation is a: One-time gift Monthly gift I would like to give: $250 $150 $100 $50 Other I would like to cover the transaction fees for this donation Please select if your donation is in honour or in memory of someone special Tribute Options --- Please Select --- In Memory In Honour IM IH Tribute Field Name of person being honoured Would you like ALS Canada to send a card on your behalf? ---Please Select--- Yes, I would like to send an e-card. Yes, please mail a printed card on my behalf No, thank you. Recipient Title ---Please Select--- Mr. Mrs. Ms. Mx. Mr & Mrs. Mr. & Mr. Mrs. & Mrs. Dr. Prof. Recipient Name Recipient Email Recipient Street Address 1 Recipient Street Address 2 Recipient City Recipient Province/State Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Recipient Postal Code Recipient Country Canada United States United Kingdom Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Personal message to include in card DONOR INFORMATION I am making this gift on behalf of an organization or company Organization Name CONTACT INFORMATION Title ---Please Select--- Mr. Mrs. Ms. Mx Mr. & Mrs. Mr. & Mr. Mrs. & Mrs. Dr. Prof. First Name Middle Name Last Name Email Address Street Address 1 Street Address 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon Postal Code Country United Kingdom United States Canada Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Cell Phone Home Phone PAYMENT INFORMATION Payment Type Visa Mastercard American Express PayPal Credit Card Number Card Holder Name CVV(?) WHERE IS MY CARD SECURITY NUMBER? Visa and MasterCard users American Express users The Card Security Number is the 3-digit number located on the back of your card, usually at the top of the signature strip. Look for the 4-digit number printed on the front of your card. Depending on which card you have, you'll find this number in small type above your credit card's main number on either the left or right side. What is the Card Security Number for on my credit card? A Card Security Number is a unique security feature of Visa, MasterCard and American Express credit cards. By including it with your transaction, you can help protect your account from fraud and you give us one more way of being sure your transaction is legitimate. Credit Card Expiration 01 02 03 04 05 06 07 08 09 10 11 12 2022 2023 2024 2025 2026 2027 2028 2029 2030 PayPal Billing Agreement I give permission for the ALS Society of Canada to contact me digitally about its activities and how I can support its mission and work toward a future without ALS. I can withdraw my consent at any time. I would like to receive more information about leaving a gift in my will to the ALS Society of Canada. I have left a gift in my will to the ALS Society of Canada. Would you please share how you are connected to the ALS community? Select one I am a person living with ALS I am a caregiver for someone living with ALS I have lost a friend/family member to ALS Other Donate Now If you would like ALS Canada to mail a tribute card on your behalf, please phone our Donor Services team at 1-800-267-4257 and Press 3. The ALS Society of Canada hopes to raise $150,000 this year through fundraising campaigns and initiatives in Alberta. It will cost the organization approximately $30,000 to raise this amount. Funds raised will support ALS Canada’s mission. For further information, please contact Jessica Alvarado at 1-800-267-4257. Need help? Email us at: donations@als.ca To speak to our Donor Services team, call: 1-800-267-4257 and Press 3 © AMYOTROPHIC LATERAL SCLEROSIS SOCIETY OF CANADA REGISTERED CHARITY 10670-8977-RR0002 The Standards Program Trustmark is a mark of Imagine Canada used under licence by the ALS Society of Canada.