Southlake Regional Health Centre Foundation

Thank you for your generous gift in memory or in honour of a loved one.

Thank you for making a special gift today in honour or in memory of someone special. Your gift will help ensure that your family, friends and neighbours have access to leading-edge care, close to home.

Please complete the form below to make your tax-deductible donation now.

You can also ensure that your honoree or the family of your memorial gift is notified of your generosity. In the form below, you may choose to send an eCard, or to have Southlake Foundation mail a card on your behalf.

Are you looking to make a corporate donation? If so, click here.

If you have any questions about your gift, please contact Southlake Foundation at 905-836-7333 or foundation@southlakeregional.org.

By selecting this option, your gift will remain anonymous to the honouree and their family

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*Please Note: If you selected ‘other’ rather than one of the Hospital’s identified priorities we may need to contact you to ensure that your donation can be put to work as quickly as possible in the area of the hospital you wish to support.

Honoree Information

Tribute Card Type

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eCard

Paper Card

Honor Gift Type:

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Paper Card Recipient Information

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eCard Recipient Information

Sending an eCard is a great way to tell family and friends about this gift. Once your gift is processed, your eCard will be sent on the date you select below.

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Yes, send me a copy of the eCard.

Billing Information

Title:

First Name:

Last Name:

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Yes, I would like to make this donation anonymously.

Yes, I would like to receive occasional email updates from Southlake Regional Health Centre Foundation. To opt-out of receiving these communications, please uncheck the box

I am proud to be part of the Southlake Family as a physician, staff or volunteer

Payment Information

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