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Yes! Please enroll me for Monthly Giving

The SGH Foundation monthly giving program is a safe, secure, and convenient way to put your money to work. As a monthly donor, your pledge will be automatically processed each month. You can cancel or change your pledge at any time by contacting the SGH Foundation. Thank you.

Personal Information

If you would like to receive a tax receipt for your donation, please provide all of the requested information.

Email

Title [Mr.Mrs.Ms.Dr.]

First Name

Last Name

Mailing Address

City

Country

State/Province

Zip/Postal Code

Phone (Day)

Contribution Amount

Please enter the amount you would like to contribute on a monthly basis. Please note that SGH Foundation processes monthly donations on the 1st of every month.

Frequency:

Contribution Amount:

CAD

Credit Card Information

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

Cardholder Name:

Credit Card #:

Security Code (CVV2):

What is a CVV2?

Card Type:

Expiry:

/

MM/YY

Additional Information

Please use this section to provide us with any important information regarding your donation. Thank you.

Stratford General Hospital Foundation
46 General Hospital Drive
Stratford, ON N5A 2Y6
Canada