One-time gift - Fondation l'Hopital Maisonneuve-Rosemont

FR

The Together for the HMR Fund provides the Hôpital Maisonneuve-Rosemont (HMR) with the resources needed to maintain excellence in care, research, and teaching, which are at the heart of the Hospital’s ability to provide the best care and face future challenges.

Time is of the essence.
Help us save lives now and be prepared for any eventuality.
Help the HMR and its patients.

To donate on behalf of an organization, click here.

* Required fields

Field Is Required I would like to make a gift of

$75.00

$75

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

$125.00

$125

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

$250.00

$250

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

$500.00

$500

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

OTHER AMOUNT

Enter amount

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

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).

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

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.)