Secure Donations
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Thank you. Because of generous donors like you, we are able to equip
Peace Arch Hospital so that you, your loved ones, your friends and
neighbours are able to access quality care close to home.
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1. My Donation
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Please select or enter the amount you would like to donate
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Frequency:
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Contribution Amount:
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Please consider our recurring giving options by
selecting the Monthly or
Quarterly frequency above. This is an easy way to
give manageable amounts. And if at any time you want to stop,
increase or decrease the amount, just contact us.
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2. Donation Designation
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Please select the project you'd like to support. If you chose
"Other", please specify the program under Step 6.
Additional Information below.
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3. Donor Information
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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.
To make your donation, simply complete the fields below. If they are
already populated, please review carefully:
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Email:
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Title [Mr.Mrs.Ms.Dr.]:
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First Name:
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Last Name:
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Middle Name:
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Business Name:
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Job Title:
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Street:
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City:
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Country:
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State/Province:
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Postal Code:
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Phone:
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4. In Recognition (optional)
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If you are making a donation in appreciation for wonderful care, a
tribute to a loved one, or in celebration of a milestone, please
provide details below.
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If you would like to let someone know about this donation, please
enter their name here and complete the eCard section below.
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Full Name:
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5. Send a personalized eCard (optional)
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If you would like to let the tributee or next of kin know about this
donation, first click on the image to browse through the available
images and then click "Add eCard" below.
To send a message to more than one person, click "Add
eCard" to create a new card for each recipient.
Your eCard(s) will be sent automatically once your donation has been
successfully processed.
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Click image to view all eCards available.
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6. Additional Information
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If gift is in Appreciation, please provide your message of thanks and we will pass it along to your honouree along with a lapel pin and thank you note.
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If gift is in Celebration, please specify occasion or reason for the gift
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If you chose "Other" for Step 2. Donation Designation above, please specify where you would like your gift designated.
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7. Credit Card Information
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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.
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Cardholder Name:
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Credit Card #:
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Security Code (CVV2):
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Card Type:
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Expiry:
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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.
By submitting this form, you agree to our
Privacy Policy
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).
Peace Arch Hospital Foundation, 1151
Russell Ave, White Rock, BC, CANADA, V4B 2R4
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Recurring message
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