Donation - St. Joseph's Lifecare Foundation

To assist with the COVID-19 crisis, please choose WHEREVER THE NEED IS GREATEST from the options provided.

To send a note of support to our frontline team, please use the Comments section at the bottom of the form.

Fields marked with an asterisk* are required to process your donation.

If you have a question regarding a previous donation or would like to make changes to your monthly giving, please contact the Foundation at 519-751-7096 ext. 2475 or click here to send an email.

Donation Information

I would like to make a General donation

Wherever the Need is Greatest

Hospice

Long Term Care

Donation Type:

One-time gift

Monthly gift

Monthly Giving

Join the Monthly Giving Program for as little as $15 per month. Your monthly donation will be processed on the 15th of the month. Please choose the month you wish your donation to start.

An official tax receipt will be issued annually for your monthly giving contributions.

Starting the month of:

Group Donation:

Yes

Gift Amount:

$50

$100

$250

$500

$1,000

Other: (please specify)

Because you are making a gift of $100 or greater to Stedman Community Hospice during our Christmas season, you are entitled to receive the 2020 collectible Christmas ornament. This ornament will automatically be mailed to you unless
you check the box to indicate you do not wish to receive it.
I do not wish to receive the 2020 Christmas ornament

Is this a tribute?

Yes

I would like to make a General donation

I would like to make this donation in memory of someone

I would like to make this donation as a gift in honour of someone

Memorial Donation

In Honour gift Recipient

In memory of: In honor of:

Families often appreciate knowing that donations have been made in their loved one’s memory. Would you like to send an acknowledgement card to a family member? Would you like to send an acknowledgment card, notifying them of your donation?

Yes

Send Acknowledgement to: Send card to:

Name*:

Address*:

City*:

Province*:

Postal Code*:

Country*:

Is this donation on behalf of a company?

Yes

Contact Information

Title:

*First Name:

*Last Name:

*Email:

*Phone Number:

*Address:

*City:

*Province:

*Postal Code:

*Country:

Donation - St. Joseph's Lifecare Foundation

Donation Form

Donation Information

Monthly Giving

Tribute Information

Memorial Donation

In Honour gift Recipient

Contact Information

Company Information

Payment Information

Donation - St. Joseph's Lifecare Foundation

Donation Form

Donation Information

Monthly Giving

Tribute Information

Memorial Donation

In Honour gift Recipient

Contact Information

Company Information

Payment Information

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