Donate Now – Birthday Wall Baby Tile Step 1: Donation Amount and Contact Information Donation InformationHow much would you like to donate?*$250 = small tile; $350 = medium tile; $5000 = large tile (Please enter dollar amount only, no cents. Eg. 150 for $150.00 or 5000 for $5000.00)*Donor Contact Information We require the following information in order to issue your official receipt for income tax purposes. (For CRA compliance, you are required to provide your full name and home address. Fields marked with an asterisk are mandatory). Business name and address are required if making a corporate donation. To make a donation, simply complete the form below before proceeding to our secure payment portal on GiftTool.Title*Mr.Mrs.Ms.Dr.MissFirst Name*Last Name*Email* Phone*Street Address*City*Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon TerritoryPostal Code*Tile InformationChild's First, Middle, and Last Name*Child's Birth Date* MM slash DD slash YYYY Your Relationship to ChildColour of Tile*Please select the tile colour you wish to purchase Blue Green Image Upload(Only required for medium and large tiles) Drop files here or Select files Max. file size: 50 MB, Max. files: 4. Personal Message(Only required for large baby tiles)CAPTCHA