In Honour / In Memory Donation


If you would like to make an in honour / in memory donation on behalf of a company use this form.


Thank you for choosing to make a donation to support our vision of a world without Alzheimer’s disease and other dementias.

Field Is Required Enter A Gift Amount:

Tribute Information

Who is this gift in honour of memory of?

Who is this tribute donation from?

Mail a Printed Card

Send an Electronic Card

Please note your personal message cannot exceed 255 characters.

Donor Billing Information

Both the name and address you enter below must match what is on file with your credit card in order to process this donation. The Canada Revenue Agency (CRA) does not permit us to issue tax receipts to anyone other than the donor (the person whose name is on the credit card).

Donor Payment Information

Credit Card Information:

Credit Card Type:
  • American Express
  • MasterCard
  • Visa
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