Community Justice Alternative

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I wish to make a contribution to Community Justice Alternatives of Durham Region. My information is listed below:
Contact Information:
First Name:		Last Name:
Title:		Company:
Address:		City:
Prov/State:		Postal Code:
Telephone Number:		Fax Number:
Email Address:

What is your preferred way for us to contact you?		Email Telephone Mail
If you would like us to contact you by phone, when would be the best time?

Other Information:
What type of business are you in?		If other, please describe

Donation Information:
What type of Donation are you making?		Amount: If non-cash, please give $ value
Comments:
We may require an independent appraisal of certain non-cash items before issuing a donation receipt.

Community Justice Alternatives of Durham Region 700 Finley Avenue Unit 4 Ajax, Ontario L1S 3Z2