Circle of Friends Monthly Giving - Queensway Carleton Hospital Foundation

Become a monthly donor by joining our Circle of Friends TODAY!

With your convenient, reliable monthly gifts you'll help care for patients all year long. Plus, you'll receive less mail and reduce administrative costs, meaning more of your donation can be directed to what you care about most – improving healthcare and saving lives.

Charitable tax receipts for income tax purposes are issued automatically for donations $10.00 and over.

* = Required fields

Field Is Required Enter A Gift Amount:

$36.00

monthly

$25.00

monthly

$20.00

monthly

Donor Entered Monthly Amount:

Enter amount

Donor Information

Donor Title:

Donor First Name:

Donor Middle Name:

Donor Last Name:

Donor Street 1:

Donor Street 2:

Donor City:

Donor Province/State:

Donor Postal/ZIP code:

Donor Country:

Donor Phone Number:

Billing Information

Billing Information is the same as Donor Information

Title:

First Name:

Last Name:

Street 1:

Street 2:

City:

Province / State:

Postal / Zip Code:

Email Address:

Yes, I'd like to receive email updates from Queensway Carleton Hospital Foundation.

Payment Information

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Become a monthly donor by joining our Circle of Friends TODAY!

Donor Information

Billing Information

Payment Information

Payment Method:

Credit Card Information:

Check Information

Queensway Carleton Hospital Foundation