e-Transfer Form

What Impact do you want to have?

Firstly, let us express our tremendous appreciation for your decision to support the many people that come to Simcoe Hall for assistance. We could not do this without your support!

Since we know that donors like to target their contributions to programs that touch their own hearts, we ask that you choose indicate your favourite programs below.

PLEASE FILL OUT THE FORM BELOW, SO WE KNOW WHERE YOU WOULD LIKE YOUR FUNDS ALLOCATED.

Your Full Name

Best phone to reach you:

Active Email:

Your Address:

Specify Other

E-Transfer Amount* (for our records only)

E-Transfer Password*

Additional Notes (optional)

Once form is sent you MUST then login to your bank and send your E-Transfer to [email protected]. This form does not submit any funds.