Butterfly Release Order Form

Part of each butterfly order goes back towards running programs for the bereaved. Your contribution to BFO-Toronto goes straight to work helping inspire hope and healing in those on their grief journey. Please accept our sincere thanks for helping create a safe space for our community to explore grief no matter when, how, or who they may have lost.

If you wish to include additional donations to support BFO-Toronto’s programs and services, please use the custom additional donations option.

$ Donation Amount:

Choose Your Donation Amount:

Name as it should appear on tag

Preferred keepsake colour

Name as it should appear on tag

Preferred keepsake colour

Name as it should appear on tag

Preferred keepsake colour

Name as it should appear on tag

Preferred keepsake colour

Yes, I plan on attending No, please release a butterfly on my behalf

Personal Info

First Name & Middle Initial *

Last Name *

Company Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donation Total: $140.00

About BFO-Toronto

Butterfly Release Order Form