You are helping to expand, enhance and secure the future of emergency
care right here in our community.
Please provide your personal information so we can process your
donation and issue a tax receipt.
* Please note, fields marked in red are required.
A tax receipt will be issued using the name of the
cardholder. 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.
Honour the memory of a loved one or celebrate a special event.
We'd love to send an acknowledgement card to someone on your behalf
(donation amount will not be included). It can be the person you are
honouring or the next of kin for in memory gifts.
For an "in honour" gift, please describe the occasion being
honoured in the "additional information" field below.
Your privacy is our concern
By pressing the Submit Donation button below, you
have agreed to allow the amount above to be billed to your credit card.
You may start to receive communications, by mail or email, from the
Foundation updating you on fundraising successes and activities. We
never sell, trade or rent our mailing lists. If you prefer not to be
contacted by the Foundation please let us know by calling 604.533.6422.
Langley Memorial Hospital Foundation22051 Fraser HighwayLangley, BC V3A 4H4Telephone: 604.533.6422Fax: 604.533.6439
Langley Memorial HospitalTelephone: 604.514.6000
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