Gift in Tribute

Gift in Tribute or in Honor

This gift is made in memory or in honor of a person or a special event.

Type:

Name of the person honored or event to commemorate:

You wish that we send:

A card on your behalf to the family or the person honored

The amount of your donation will not be disclosed at any time.


Salutation:	OR
First Name:
Name:
Country:
Postal Address:
City:
Province:
Postal Code:

Your donation

I wish to give:

$ CDN

I prefer that my donation remain
anonymous.

How did you learn you could make a difference?

Your information

* Note: You must complete these fields in order to obtain a charitable income tax receipt. Official income tax receipts are issued for donations of $10 and more and are valid in Canada only.

* Note: Please make sure that the address indicated is the same as your credit card billing address.

Salutation:

First Name:*

Name:*

Name of Company (if needed) :

Country:*

Postal Address:*

City:*

Province:*

Postal Code:*

Telephone:*

Email:*
Your confirmation notice will be sent at this email

I prefer to receive my correspondence in English

Je désire recevoir ma correspondance en français

Your credit card information

Name of the cardholder:*

Card Number:*

Credit Card Type:*

Expiration date:*

Note :When you make a donation on our secured site, it is important to only click the "Submit" button once and wait that the confirmation message appears on the screen. If you click the "Submit" button twice or if you click on the stop button and resend the donation form, your credit card risks to be debited twice for the same donation. Please be patient, your credit card confirmation should be displayed in 10 to 60 seconds after the transaction.If you're experiencing difficulties, please contact us by email at fondation@montfort.on.ca. In the 24 hours following the credit card payment confirmation, you will receive a confirmation on our behalf.

SecurityMetrics for PCI Compliance, QSA, IDS, Penetration Testing, Forensics, and Vulnerability Assessment

The Montfort Hospital Foundation respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to your privacy. We do not rent, sell or trade our mailing lists. If at any time you wish to be removed from any of these contacts, simply telephone us at 613-748-4920 or via email at fondation@montfort.on.ca.

Montfort Hospital Foundation
713 Montreal Road, Ottawa, Ontario K1K 0T2

Telephone : (613) 748-4920
Fax : (613) 748-4928
Email : fondation@montfort.on.ca
Website : www.montfortfoundation.ca

Charitable Registration Number 11892 1642 RR 000 1. All contributions are tax deductible to the extent provided by law. An income tax receipt will be issued for donations of $10 and more

Please note that charitable donations are not refundable.

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