Other ways to donate including by phone or mail.

Company in memory/tribute donation


If you would like to make a in memory/tribute donation as an individual and not a company gift use this form.


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

Field Is Required Enter A Gift Amount:
Field Is Required I would like my donation to support:

Gift type

Who is this gift in honour / 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

Please note that the address you provide must match the billing address of the credit card holder. If it does not, please contact donorserve@alzheimer.ca.

Donor payment information

Credit Card Information:

Credit Card Type:
  • American Express
  • MasterCard
  • Visa
What is this?

We are committed to protecting the privacy of your personal information. To learn more, please see our Privacy Policy.