Donate Now – TeamBrokenEarth

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Secure Donations - Dr. Atamjit Gill Women's Health Legacy Fund

Thank you for supporting the Dr. Atamjit Gill Women's Health Legacy Fund.

Dr. Gill was a compassionate and skilled urogynaecologist who represented the values we hold dear at Team Broken Earth - kindness, professionalism and an incredible devotion to his patients. He was a legend in his field who will be missed by so many.

Your support will ensure that his legacy will continue and his passion for helping women around the world will continue in his memory.

Contribution Amount

Please enter the amount you would like to contribute and please indicate if this is a one-time gift or a recurring gift.

Frequency *

Contribution Amount *

With the recurring donation plan, you may choose the amount you feel comfortable with. If at any time you want to stop, increase or decrease the amount, just contact us at 709-749-7363, or email us at admin@brokenearth.ca and we will make the changes you would like.

Donor Information

We respect your privacy. This information will not be shared outside our organization.

Email *

First Name *

Last Name *

Mailing Address *

City *

Country *

Province *

Postal Code *

Phone (Day)

A receipt for tax purposes will be issued using the name provided on the credit card.

Payment Information

Please type the cardholder name exactly as it appears on your credit card. A tax receipt will be issued to the individual or company (for corporate gifts) named on the credit card Only. In the case of a corporate gift, please include your name and company name as it appears on your company credit card – e.g. Sandra Smith, ABC Company.

Card Type

Cardholder Name *

Credit Card # *

Security Code * What is a CVV2?

Expiry

In accordance with Canada Revenue Agency guidelines, by making this gift I confirm that I am the true donor (i.e. this gift is being made by me and NOT on behalf of another person).

Team Broken Earth
PO Box 23004 RPO Churchill Sq.
St. John’s, NF
Canada A1B 4J9