Make a donation

If you wish to make a donation in memory of a deceased, you can complete the form below and the family will be advised of your gesture. A letter providing your name and address will be sent to them, but the amount of your donation will not appear. In addition, by printing the details of your donation by clicking on "Print and advise the family", the information about your donation will be sent together with your cheque directly to the foundation.

Name of deceased:


Foundation:


Other Foundation:


Amount of donation $:




First Name:
Last Name:
Email:
Phone Number:
Address:
Address:
City:
Province / State:
Postal Code / Zip:
Country:



 

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