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Canadian League Against Epilepsy


Donation goal

0%
Goal:
$5,000.00
Collected:
$0.00

Participants

 Name Amount Raised




 
 
 
 
 
 
 
 
 



Teams

 Team Name Amount Raised





 
  



 

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Donation

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Contact data

*First name
*Last name
Profession
Institution or Organization
*Complete Mailing Address
*E-Mail
*Alternate E-Mail Address
Phone
Are you a CLAE Member?
*Mailing Address
This is required for tax receipt purposes.
 

Donation

*Amount ($CAD)
I am donating in support of...[Name of individual]
For a list of Fun Run/Walk participants and
teams, please refer to the list
Comment
*Are you donating in support of the CLAE Fun Run

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