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Gift Amount

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Honour/Memorial

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Payment

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Summary

Donate in honour or memory

Field Is Required Enter the donation amount:

$25.00

$50.00

$100.00

$200.00

Enter amount

Field Is Required Gift Designation:

Use my gift where it is needed most.

Direct my gift to: Select a program Cardiac Care Palliative Care Woman & Child Other Area of greatest need

If other, enter designation:

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