Make a Donation to La Fondation Vieux Rêves


Date: 
2024-05-03
Total *: 
Title: 
First Name *: 
Last Name *: 
Company/Corporation: 
E-Mail Address *: 
Address Line 1 *: 
Address Line 2: 
City *: 
Code Postal *: 
Province/State *: 
Country: 
Home Phone Number: 
Cell. Phone Number: 
Office Phone Number: 
Extension: 
Sign Me Up for Correspondence *: 
Message or Comments: 
Correspondence Language *: 
Keep my info: 





Selected Campaign
Kilimandjaro 2015


Participant:


Pierre Laurin


Objectif: $10000,00

Total ammassé : $6695,23




Fields marked by (*) are mandatory.