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.

Personal Information

We will process one tax receipt for you with your cumulative giving for the entire year. This receipt will be provided by the February deadline for your tax preparation. Please do not hesitate to contact us at the Yukon Hospital Foundation should you have any questions.

To ensure you receive your tax receipt, please provide all of the requested information below. Please contact the Foundation should your address, email or credit card information change throughout the year. 

Please confirm your email
Title [Mr.Mrs.Ms.Dr.]
First Name
Last Name
Mailing Address
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.

Contribution Amount:

Credit Card Information
Cardholder Name:
Credit Card #:
Security Code (CVV2):
Card Type:

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.

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