Please complete the following form and click "Submit" at the bottom of the page. All fields marked with "*" are mandatory.
By paying by credit card, I understand that my credit card statement will show this transaction as "C.H.H.A" and I will ensure that anyone who reviews the statement is aware of the transaction.
Please make your cheque payable to the "CHHA" and mail to:
If you have any questions about your donation, please contact Karla Wilson by phone at 800-263-8068.
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