Donate Now | Peace Arch Hospital Foundation

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My Donation

Please select or enter the amount you would like to donate

Contribution Amount *

Donation Designation

Please select the project you'd like to support. If you chose "Other", please specify the program under Step 6. Additional Information below.

Donor Information

Email: *

Title [Mr.Mrs.Ms.Dr.]:

First Name: *

Last Name: *

Middle Name:

Business Name (if this is a business donation):

Job Title:

Street: *

City: *

Country: *

State/Province: *

Postal Code: *

Phone: *

In Recognition (optional)

If you are making a donation in appreciation for wonderful care, a tribute to a loved one, or in celebration of a milestone, please provide details below.

In Appreciation of

In Honour of

In Memory of

Payment Information:

Charitable tax receipts will be issued in the cardholder’s name. For corporate gifts, please enter the business name in the donor information section above.

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

Charitable Business Number: 12731 1348 RR0001

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Send a personalized eCard (optional)

If you would like to let the tributee or next of kin know about this donation, first click on the image to browse through the available images and then click "Add eCard" below.

To send a message to more than one person, click "Add eCard" to create a new card for each recipient.

Your eCard(s) will be sent automatically once your donation has been successfully processed.

Click image to view all eCards available.

Additional Information

If gift is in Appreciation, please provide your message of thanks and we will pass it along to your honouree along with a lapel pin and thank you note.

If gift is in Celebration, please specify occasion or reason for the gift

If you chose "Other" for Step 2. Donation Designation above, please specify where you would like your gift designated.

What prompted you to give through our website? Please choose from the list or type in your reason in the box provided.

Other