Miscellaneous Payments Please use this form to submit payment for various items other than donations.For donations, please use our General Donations form. "*" indicates required fields HiddenMisc Payment confirmation 1x Misc Payment Name* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* Payment Amount*Notes*Include a brief description of this payment to help us know what the payment is for.Payment Method* eTransfer Credit Card Interac e-transfer OptionSending an e-transfer donation via your online banking system is easy. 1. Log in to your financial institution's online or mobile banking and navigate to Interac e-Transfer Send Money. 2. Select the account you would like funds transferred from. 3. Add or select "Langley PosAbilities Society" and e-mail address "zosia@pos-abilities.org" 4. Type in the specified amount you are sending, along with a personalized message such as: "Payment for xxxx" in the message area. 5. Click "Send" button.Credit Card OptionCredit CardWe use Square to process credit card information. For details visit https://squareup.com/ca/en Cardholder Name Card Details CAPTCHATotal PhoneThis field is for validation purposes and should be left unchanged. Δ