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Please choose your support level / Veuillez selectionner votre niveau de soutien

$
Donations of $75 or above will make you eligible for CCLA membership. If you would like to become a member and receive CCLA’s membership benefits, please visit the "Join us" page. For one-time donations (of any amount), please fill out the form below. You will be redirected to a third party, secure payment site once you click “Submit”.
First & Last Name / nom(s) de famille
Email Address / adresse électronique
A value is required.Invalid format.
Phone Number / Numéro de téléphone
Street Address / Adresse du domicile
City / VIlle
Province
 
Postal Code / Code Postal
  Thank you for making a donation to the CCLA. It is through the generous support of individuals such as yourself that we are able to continue our work: promoting respect for and observance of fundamental human rights and civil liberties. Please consider becoming a CCLA member, in order to receive updates about our initiatives right in your inbox (or your regular mailbox)
 
 
Please do not contact me by Mail / Ne me contactez pas par courrier
 
Please do not contact me by E-Mail / Ne me contactez pas par courrier électronique
  On occasion, this organization exchanges the names and of supporters with other likeminded non-profit organizations. If you do not want us to trade your name with other organizations, check this box: Notre association partage parfois les noms de nos supporters avec d’autres associations d’intérêt public. Si vous ne voulez pas que votre nom soit partagé, veuillez cliquer ici :
 
       
   
     
CCLA PDF Donation Form
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