2025 Nature's Emporium Run for Southlake - Southlake Regional Health Centre Foundation

Thank you for supporting the 2025 Nature's Emporium Run for Southlake. Did you mean to support a friend? Click here!

Raised

Goal

0%

Percent Complete

Gift Information

Donor/Receipt Information

Make this gift on behalf of an organization

Organization Name:

Donor Title:

Donor First Name:

Donor Last Name:

Donor Street 1:

Donor Street 2:

Donor City:

Donor Province/State:

Donor Postal/ZIP code:

Donor Country:

My billing information is the same as my donor information

Title:

First Name:

Last Name:

Street 1:

Street 2:

City:

Province/State:

Postal/ZIP Code:

Country:

Email Address:

Southlake Foundation is dependent upon the generous support of donors and volunteers to fulfill its mission. We collect your personal information to process your donation, issue a tax receipt, and to demonstrate the impact of your gift at work. Your personal information will not be sold or traded with other organizations. For more information about our privacy practices, view our Privacy Policy or contact us at Foundation@southlake.ca

Yes, I'd like to receive occasional email updates from Southlake Regional Health Centre Foundation.

Yes, I would like to receive physical communication from this organization.

Recognition

Yes, make this an anonymous gift.

How would you like your name to be listed on the website next to your gift?

Yes, you can display the amount of my donation publicly

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?