Événements-signatures - Fondation l'Hopital Maisonneuve-Rosemont

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I make a gift

Can't make it to the signature events? Show your solidarity and make a difference for the Hôpital Maisonneuve-Rosemont by making a donation. The funds raised during Montréal Passion Vin,À Votre Santé! and Montréal Passion Scotch will contribute to the well-being of sarcoma patients.

Thank you for your support!

* Required fields

Montant supplémentaire :

Field Is Required Select Gift Amount:

$75.00

$75

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$125.00

$125

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$250.00

$250

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$500.00

$500

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OTHER AMOUNT

Enter amount

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Field Is Required Event choice:

Use my gift where it is needed most.

Your Information

Title

Employer:

First Name

Middle Name

Last Name

Email

Address 1

Address 2

City

Province

Postal Code (X1X 1X1)

Country

Telephone (XXX XXX-XXXX)

Birth year

I authorize the Foundation to add my first and last name on the different donor's walls (if $1 000 o

I authorize the Foundation to add my first and last name on the different donor's walls (if $1 000 or more).

Payment Information

Tax receipts for donations over $ 25 will be issued in the cardholder's name only.

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Solliciteur

Transaction Fee

Yes, I would like to cover the transaction fee to further support the Hospital by adding 3% to my donation.

Yes, I would like to be opted in to communications from the Hôpital Maisonneuve-Rosemont Foundation (newsletters, events information, fundraising, etc.)

270-5345, de L'Assomption blvd.
Montreal (Quebec) H1T 4B3

514 252-3435
info@fondationhmr.ca
Registration number: 107391757 RR 0001

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Credit Card Verification Code

The Verification Code is imprinted on credit cards to help merchants verify transactions when the actual card is not present, such as Internet purchases or donations. The merchant uses this number as part of the authorization process with the card issuer.

Please use the images below to locate the verification code for your card type.

A picture of a Visa or Mastercard 3 digit verification code number printed on the back of the card.

Visa & Mastercard

The verification code for Visa or Mastercard is a 3-digit number printed on the back of your card. It appears after the account number or last 4-digits of your account number, in the signature panel.

A picture of a American Express 4 digit verification code printed on the front of the card.

American Express

The American Express verification code is a 4-digit number printed on the front of your card. It appears above and to the right of the embossed account number.