'Say Thanks' Donation Form - North York General Hospital Foundation

为感谢我们的医护人员每天不辞劳苦地为病人提供卓越的护理及关怀。您可以他们个人或部门的名义捐款至北约克全科医院。我们会代为转达您的心意。

Field Is Required Enter your 'Say Thanks' gift amount:

$250.00

$100.00

$50.00

Enter amount

Field Is Required I want to support the most urgent needs of North York General

Use my gift where it is needed most.

Specify an area for the gift to support:

Gift designation

'Say Thanks' to your caregiver or volunteer

Staff or Doctor Name if you know it or simply NYGH Staff

Department/location if you know it

Personal message of thanks:

Please note that there is a 255 character limit to your message, which is about 30 words.

Donor information

I am making a donation as a company

Company name:

I do NOT wish to be listed as a donor in any Foundation publication(s).

Title

First name

Last name

Address

City

Province/State

Postal code

Country

Phone number (optional)

Email address

*After you make your donation, you will receive periodic email updates and communications from North York General Hospital Foundation. Please note that you may opt-out at any time through the 'unsubscribe' option within those emails.

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

_{*Having Trouble? Contact the Foundation directly to make your gift at: 416-756-6944 or email: foundation@nygh.on.ca}