Web campaign - Fondation l'Hopital Maisonneuve-Rosemont

FR

En donnant, vous permettez aux bénéficiaires de l’Hôpital Maisonneuve-Rosemont de recevoir les meilleurs traitements possibles, et ce, en toutes circonstances. Ensemble, bâtissons des communautés en santé et contribuons à transformer l’avenir des soins.

Merci d’être solidaire de l’HMR!

* Champs obligatoires

Field Is Required I would like to make a gift of

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

Additional Amount:

Your Information

Title

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).

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.)