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Personal Information
Given Name:
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Primary Phone: ()
Secondary Phone: ()

Address
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Donation in honour of: (same as billing name)

Donation Amount: $CAD

I have received my KeyTags in the mail: No

Please send me the new 2019/2020 Legion KeyTags: No

Personal Note:

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* Donations are non-refundable.

Make Cheques Payable To: Legion Foundation

Mail To:
#101-17618 58 Avenue
Surrey, BC
Canada
V3S 1L3

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