Port-a-Potty Donation Form

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Adopt a Fringe Festival Toilet (or Urinal)!

Donate Once

Adopt a Fringe Festival Toilet (or Urinal)!

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CAD

Toilets & urinals inside the Fringe Theatre Arts Barns will be allocated on a first come, first served basis. Is your first choice a toilet or a urinal? *

We'll be in touch in the coming months to confirm details.

Please dedicate to:

Type

Honor

Memory

Name of honoree

Secure Payment

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I would like to be recognized publicly for my gift on Fringe Theatre's online Donor Wall.

Yes

Please enter your name as you'd like it to appear on Fringe's online Donor Wall

Please make my gift anonymous - I do not wish to recognized publicly

First Name *

Last Name *

Submit as a company

Company Name

Email *

Phone *

Street Address *

Address Line 2

Suite, apartment, floor, etc.

City *

Province/State *

Postal Code/Zip *

Country *

Receipt Delivery Method *

Lettermail

Would you like to receive your charitable tax receipt via email or printed by lettermail?

I am a (select all that apply)

Artist

Audience Member/Patron

Volunteer

Other

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Card

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

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