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Please consider making a donation to the CanSAGE Foundation.
This year our fundraising goal is a modest $10,000 but we hope to be able to exceed this amount.

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Donation

* Mandatory fields
*First Name / Prénom
*Last Name / Nom de famille
Specializations / Spécialisations
ex. MD, FRCSC, FACOG
Company / Organisation
*Address 1 / Adresse 1
Address 2 / Adresse 2
*City / Ville
*Postal Code / Code postal
*Email / Courriel
*Phone / Téléphone
ex 304-555-7676
Mobile Phone / Cellulaire
ex 304-555-7676
*Amount ($CAD)
Comment

Contact us:
admin@cansage.org
+1 866-661-0880 x2

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