If you would like to make an in honour / in memory donation as an individual and not a company gift use this form.
Thank you for your support of Alzheimer Society Waterloo Wellington. Your Donation will go directly to providing programs and services within Waterloo and Wellington Regions. Thank you for helping us to help others live their best day.
Field Is Required
Enter A Gift Amount:
Who is this gift in honour of memory of?
Who is this tribute donation from?
Please note your personal message cannot exceed 255 characters.
The name and address you enter below must match your credit card details in order to process this donation.
Credit Card Information: