Donate Now | Peace Arch Hospital Foundation

Oops... javascript is not enabled.

To use this page your need to enable javascript in your browser.

Please click here for simple instructions to enable javascript.

Thank you for supporting Walk the Rock presented by Hamilton Duncan Law! Walk The Rock is a Youth In Action led fundraiser benefiting Peace Arch Hospital Healing Starts Here: Kitchen Campaign.

This year HomeLife Realty will be matching all donations up to $5,000.00! Don’t miss out on making your donation that will double the impact for our community hospital!

Personal Information

To make your donation, simply complete the fields below.

Email:

Title [Mr.Mrs.Ms.Dr.]:

First Name:

Last Name:

Middle Name:

Job Title:

Hospital Department:

Home Address:

City:

Country:

Province:

Postal Code:

Phone:

Gender:

Contribution Amount

Please select or 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).

Additional Information

Please answer the following question..

Other

How did you hear about Walk The Rock? Select the answer(s) that most inspired you to leave your gift.