Help ensure no one has to face dementia alone.
Please donate now.

In memory/tribute donation

Field Is Required Enter A Gift Amount:

$150

$100

$50

$25

Other:

Enter amount

I would like to remain anonymous in any public recognition of this donation. Please note that donations of $1,000 or more are acknowledged in our Annual Report.

Gift type

Select gift type:

Who is this gift in honour / memory of?

Title:

First Name:

Last Name:

Who is this tribute donation from?

Should we notify someone of your gift?

Card From Name:

Mail a printed card

Recipient First Name:

Recipient Last Name:

Send an electronic card

Yes, I would like to send an eCard.

eCard Subject:

Personal Message:

Please note your personal message cannot exceed 255 characters.

Recipient Email Addresses:

Select an eCard:

Send eCard on:Select month of credit card Select Expiration Year

Yes, send me a copy of the eCard.

Recipient Address (line 1):

Recipient Address (line 2):

Recipient City:

Recipient Province/State:

Recipient Postal/ZIP Code:

Recipient Country:

Donor billing information

Please note that the address you provide must match the billing address of the credit card holder. If it does not, please contact [email protected]. The Canada Revenue Agency requires that donation receipts bear the name and address of the actual donor.

Title:

First Name:

Middle Name:

Last Name:

Address (line 1):

Address (line 2):

City:

Province / State:

Postal / Zip Code:

Country:

Phone number:

Email Address:

Yes, I'd like to receive news, tips and information by email from the Alzheimer Society.

Planned giving

Please send me information on how to leave a gift in my will.

Donor 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?

We are committed to protecting the privacy of your personal information. To learn more, please see our Privacy Policy.

RE Fund

Help ensure no one has to face dementia alone.Please donate now.

Help ensure no one has to face dementia alone.Please donate now.

Help ensure no one has to face dementia alone.Please donate now.

In memory/tribute donation

Gift type

Mail a printed card

Send an electronic card

Donor billing information

Donor payment information

Credit Card Information:

Help ensure no one has to face dementia alone.

Please donate now.

Help ensure no one has to face dementia alone.
Please donate now.

Help ensure no one has to face dementia alone.
Please donate now.