Program for Women's cancer Research In Memory Donation Form

In Memory Donation

Program for Women’s cancer Research

Your generous donation will help the Program for Women’s cancer Research in its mission to improve the health and well-being of women patients, and their families, throughout and beyond treatment, by leading initiatives that support excellence and innovations in clinical care, research and education. Team PWR pursues research in the areas of gynecological (ovarian, uterine, cervical, and vulvar) and breast malignancies and aims to bring new treatments into practice that decrease treatment related side effects and improve cure rates in women's cancer.

My Gift is in Memory of:

Please select the name of the person you wish to honour in the menu below.
If the name does not appear, please enter it in the fields below.

Memorial

Honoree First Name:

Honouree Last Name:

Please notify someone of this gift

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Send a mail card

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Deceased's Family - Person to Notify

Salutation:

First/Last Name:

Address:

Apt/Suite:

City:

Province/State:

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Country:

Message to Family:

Send an eCard

Yes, Send an eCard Yes, I would like to send an eCard.

Select an eCard:

Email addresses for the deceased's Family - Person to Notify (seperate by commas):

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

eCard Subject:

eCard Message:

Yes, send me a copy of the eCard.

Field Is Required Select gift amount:

$25.00

$25

$50.00

$50

$100.00

$100

$250.00

$250

Other

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Note: A tax receipt will be issued, to the payer, for all donations of $18 or more.

Individual or Corporate Gift

Corporate Gift:

Make this gift on behalf of a corporation or a foundation

Corporation Name:

Contact First Name:

Contact Last Name:

Thank you contact

The person to thank is different than the contact person above.

Salutation:

First Name:

Last Name:

Title:

Email:

Donor Information

Salutation:

First Name:

Last Name:

Address:

Apt/Suite:

City:

Province/State:

Postal/ZIP code:

Country:

Email Address:

Phone Number:

Email opt in I would like to receive email updates from The Cedars Cancer Foundation.

Additional Amount:

$2.00 Yes, I'd like to offset processing costs so more of my gift can benefit The Cedars Cancer Foundation. $2.00 will be added to your donation total.

Cardholder Information

Please make sure your billing address is exactly as it appears on your credit card statement.

Billing information is the same as donor information

Salutation:

First Name:

Last Name:

Address:

Apt/Suite:

City:

Province/State:

Postal/ZIP Code:

Country:

Together we stand
for cancer patients

In Memory Donation

My Gift is in Memory of:

Send a card through the mail

Deceased's Family - Person to Notify

Send an eCard

Individual or Corporate Gift

Donor Information

Cardholder Information

Credit Card Information

Together we stand for cancer patients

In Memory Donation

My Gift is in Memory of:

Send a card through the mail

Deceased's Family - Person to Notify

Send an eCard

Individual or Corporate Gift

Donor Information

Cardholder Information

Credit Card Information

Together we stand
for cancer patients