The Dr. David Lacey Memorial Scholarship has been established by Dr.
Lacey’s family and Team Broken Earth to provide annual funding for a
MUN medical student to join a medical mission.
Dr. Lacey valued a commitment to compassionate and patient centered
care and demonstrated a unique spirit of humanitarianism - we are
honoured to share in his legacy.
Please provide the requested information to process your donation.
Please enter the amount you would like to contribute.
With the recurring donation plan, you can the amount you feel
comfortable with. If at any time you want to stop, increase or
decrease the amount, just contact us at 709-749-7363, or email us at
firstname.lastname@example.org and we
will make the changes you would like.
We respect your privacy. This information will not be shared outside
A receipt for tax purposes will be issued using the name provided on
the credit card.
Please type the cardholder name exactly as it appears on your credit
card. A tax receipt will be issued to the individual or company (for
corporate gifts) named on the credit card only. 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,
In accordance with Canada Revenue Agency guidelines, by making this
gift I confirm that I am the true donor (i.e. this gift is being made
by me and NOT on behalf of another person).
Team Broken Earth
PO Box 23004 RPO Churchill Sq.
St. John’s, NF
Canada A1B 4J9