Donate Now | Peace Arch Hospital Foundation

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Secure Donations

Thank you for your generous support. Please provide the requested information so that we can process your donation.

1. Contribution Amount

Please select or enter the amount you would like to contribute.

Contribution Amount *

2. Donation Designation

Please select the project you'd like to support. If you chose "Other", please specify the program under Step 4. Additional Information below.

3. Personal Information

We require the following information in order to issue your official receipt for income tax purposes. (For CRA compliance, you are required to provide your full name and home address. Fields marked with red are mandatory).

To make your donation, simply complete the fields below. If they are already populated, please review carefully:

Email *

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

First Name *

Last Name *

Mailing Address *

City *

Country *

State/Province *

Zip/Postal Code

Phone (Day)

Phone (Evening)

5. Credit Card Information

Please type the cardholder name as it appears on the credit card.

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

Please note that an official tax receipt will be issued under the cardholder's name. The Income Tax Act does not permit us to issue tax receipts to anyone other than the donor (the person whose name is on the credit card).

4. Additional Information

Please provide us with the following

If you chose "Other" for Donation Designation, please specify where you would like your gift to be designated.