Gift & Payment Information

I'd like to make a gift

One-time

Monthly

In Memory

In Honour

Étoile

Would you like to show your appreciation to a staff member who took care of you while you were at the MGH? Make this person your Étoile CODE ViE.

Your gift in their honour will be a great recognition and will support vital care.

Your honouree will receive your message of gratitude and an Étoile CODE ViE pin for all donations of $50 and more.

* Required Fields

Field Is Required Donation Amount:

$50.00

$50

$150.00

$150

$250.00

$250

$500.00

$500

Enter amount

Additional Amount:

Field Is Required Please designate this donation to:

Where it is needed most

The program of my choice:

Please specify:

Your Étoile CODE ViE

Name

Department

Your Message

Your Information

Corporate or Organization Name

Title

First Name

Middle Name

Last Name

Address 1

Address 2

City

Province / State

Postal Code / Zip

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Phone Number

Yes, I would like to receive communication from this organization.

Payment Information

Payment Method:

Credit Card

Credit Card Information:

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Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Check Information

Transaction Fee

Yes, I would like to offset transaction costs so more of my gift can go to support vital care. I agree to add 3% to my transaction.

By providing your email address and donating, you are giving the Montreal General Hospital Foundation expressed consent to contact you through digital and other communications. You can unsubscribe at any time.

When submitting personal information to the Foundation, you agree that the Foundation may collect and use it to process your donation, issue a tax receipt, keep you informed of the impact of your donation and offer you other ways to help. As part of these activites, your information may be securely disclosed to third-party partners, some of whom may be located outside Quebec. For more information, including your rights of access, rectification and withdrawal of consent, please consult our Personal Information Protection Policy or contact us by email at protection@mghfoundation.com.