Sponsor École polyvalente Jonquière Défi des leaders

     

Thank you for your generous support.

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt which will be sent to the email address that you provide.

Please note that refunds will be handled on a case-by-case basis.

* denotes required information



*
*
*


Contact Information


*
*
*
* * *
*
* ( ) Ext.
*


Display Name

Tell us a little bit about yourself.


Which of the following services provided by Leucan inspires you the most?












When is your birthday? (Used for statistical purposes only. Leucan will never disclose your personal information.)


Payment Information


* * Donation Amount:
* Processing Date:
installments
*
*
*
*

© 2015 Leucan All rights reserved. A design by Atypic.Charity Number: 11901 8703 RR0001