One-Time Donation

Field Is Required Donation amount

Donor billing information

Please note that the name and address you provide must match the name and address of the credit card holder. If it does not, please contact donorserve@alzheimer.ca. The Canada Revenue Agency requires that donation receipts bear the name and address of the actual donor.

Payment information

Credit Card Information:

Credit Card Type:
  • American Express
  • MasterCard
  • Visa
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