Giving to help Yukon Hospitals and all Yukoners.

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Monthly Donation

Yes! I wish to enroll in the Yukon Hospital Foundation's Monthly Giving program. This form makes it very easy to become a valued monthly donor. I can set the amount I would like to donate, providing a credit card from which my donation will be made each month and will continue until I notify the Foundation.

Please confirm your email

Title [Mr.Mrs.Ms.Dr.]

First Name

Last Name

Mailing Address

City

Country

State/Province

Zip/Postal Code

Phone (Day)

Designate My Gift

Please designate my gift to the following priority:

Contribution Amount

Please enter the amount you would like to contribute.

Frequency:

Contribution Amount:

CAD

Credit Card Information

Cardholder Name:

Credit Card #:

Security Code (CVV2):

What is a CVV2?

Card Type:

Expiry:

MM/YY

Please feel free to contact the Yukon Hospital Foundation at any time. We are happy to answer your questions, address your concerns and we are always appreciative of any feedback you may have. Thank you.

Yukon Hospital Foundation
5 Hospital Road
Whitehorse, Yukon Y1A 3H7