Donation

Please use the following Donation Form to inform the family that a donation was made in the memory of the deceased.

A card for the family will be placed by our staff to indicate that you are making this donation.

Please send your donation directly to the organization using the information provided below.

  * denotes required information
A donation in memory of
Made to: *

About You:

 
Name: * (e.g. John Wayne)
Address: (e.g. 1234 Some Street, Ottawa, Ont.)
Phone Number: (e.g. (613) 653-4584)
Email: * (e.g. john@rogers.com)
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