Gift & Payment Information

I'd like to make a gift

One-time

Monthly

In Memory

In Honour

Étoile

Making a gift in memory of a loved one is a great way to celebrate their life and legacy while thanking the medical teams that work day and night caring for patients.

Every dollar counts and helps advance medicine for the benefit of the community.

* Champs obligatoires

Field Is Required Donation Amount:

$100.00

$100

$250.00

$250

$500.00

$500

$1,000.00

$1,000

Enter amount

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.

Additional Amount:

Field Is Required Please designate this donation to:

Where it is needed most

The program of my choice:

Please specify:

Tribute Information

I wish to inform the family of my donation:

Gift in memory of:

Show Honor Fields Yes, this is an honor or memorial gift

Gift in memory of:

Notification Recipient Name:

Notification Recipient Address1:

Notification Recipient Address 2:

Notification Recipient City:

Notification Recipient Province:

Notification Recipient Postal Code:

Yes, I would like to send an e-card.

Recipient email addresses

Multiple addresses must be separated by a comma.

Choose your e-card

E-card subject

Your message

When do you want the e-card to be sent?Select month of credit card Select Expiration Year

Yes, send me a copy of the e-card

Your Information

Corporate or Organization Name

Title

First Name

Middle Name

Last Name

Address 1

Address 2

City

Province / State

Postal Code / Zip

Country

Phone Number

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

Payment Information

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Check Information

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.