Code Pink Appeal

Thank you for donating to our holiday Code Pink! appeal.  Because of your donation, we will be able to upgrade our Code Pink Cart so that our tiniest patients can receive the best emergency care possible.


Donation Amount

Please select or enter a donation amount

Frequency:
Contribution Amount:
CAD

Donation 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). Business name and address are required only if making a corporate donation.

Email:
Title [Mr.Mrs.Ms.Dr.]:
First Name:
Last Name:
Middle Name:
Business Name:
Job Title:
Street:
City:
Country:
State/Province:
Zip/Postal Code:
Phone:

Credit Card Information

Please type the cardholder's full name exactly as it appears on your credit card (Do not use initials). A tax receipt will be issued to the individual or company (for corporate gifts) named on the credit card. In the case of a corporate gift, please type your company name – e.g. ABC Company.

Cardholder Name:
Credit Card #:
Security Code (CVV2):
Card Type:
Expiry:
MM/YY

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). 

Charitable Business Number: 12731 1348 RR0001

If you have any questions or require an adjustment to your online donation, please contact the Foundation office at 604.535.4520 and we will be happy to assist you.

 

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Peace Arch Hospital Foundation
15521 Russell Avenue
White Rock, BC V4B 2R4