Make A Gift - Queensway Carleton Hospital Foundation

Every donation will be matched by one of our Holiday Heroes — up to $50,000 — until January 31. By becoming a monthly donor, you’ll ensure our hospital continues to deliver exceptional care and help patients get better, faster.

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 qchfound@qch.on.ca.

All fields indicated with an asterisk are required.

What Type of Gift Would You Like to Give?

One-time

Monthly

In Memory

In Honour

Donation Type

Individual

Company

Please Select a Gift Amount

Field Is Required Enter A Gift Amount:

$50.00

$50

$36.00

$36

$25.00

$25

$18.00

$18

$15.00

$15

Other Amount

Enter amount

Gift Designation

Field Is Required Gift Designation:

Use my gift where it is needed most.

Direct my gift to:

Donor Information

Make this gift on behalf of an organization

Organization Name:

Donor First Name: (Required)

Donor Last Name: (Required)

Donor Street: (Required)

Donor City: (Required)

Donor Province: (Required)

Postal code: (Required)

Donor Country: (Required)

Donor Phone Number:

Email Address: (Required)

Billing Information

Billing Information is the same as Donor Information

First Name: (Required)

Last Name: (Required)

Street: (Required)

City: (Required)

Province: (Required)

Postal Code: (Required)

Yes, I would like to receive the latest and greatest news and stories from Queensway Carleton Hospital Foundation by email.

Processing your donation may take a moment. Thank you for your patience.