Donate Now | Peace Arch Hospital Foundation

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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:

If you would like us to send an acknowledgement on your behalf, please provide the information below. (Next of Kin Name, Mailing Address, Relationship to Tributee)

Email:

Full Name:

Mailing Address:

Personal Information

To make your gift, simply complete the fields below.

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):

What is a 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.

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