Become a Monthly Donor to Queensway Carleton Hospital Foundation

Your gift ensures that our hospital will continue to improve and enhance our outstanding patient care. An annual tax receipt for all recurring monthly gifts will be issued at the beginning of the calendar year for the total donation amount received in the preceding year.

If you prefer to donate offline, please fill out this donation form and drop off or mail it in to the QCH Foundation office or email a copy to

All fields indicated with an asterisk are required.

Please Select a Monthly Gift Amount

Field Is Required Enter A Gift Amount:


Yes, Send an eCard

Donor Information

Billing Information

Payment Information

Payment Method:

Credit Card Information:

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

Check Information

Processing your donation may take a moment. If you click the donation button again during this time, you might be charged a second time.

Thank you for your patience.