Secure Donations

Thank you for using our secure on-line giving option.


In Tribute

If the donation is to be made in tribute to someone special or to the occasion of an event, please provide the following details.

In Honour:
In Memory:

Personal Information

To make your gift, simply complete the fields below.

Email
Title [Mr.Mrs.Ms.Dr.]
First Name
Last Name
Mailing Address
City
Country
State/Province
Zip/Postal Code
Phone (Day)
Phone (Evening)

Contribution Amount

Please enter the amount you would like to contribute.

Frequency:
Contribution Amount:
CAD

Credit Card Information

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

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).


Donation Designation

Additional Information

Please provide us with the following

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

If gift is in-Honour, please specify occasion or reason for gift
 

Charitable Business Number: 12731 1348 RR0001

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

By submitting this form, you agree to our Privacy Policy



Powered By GiftTool.com


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