St. Joseph's Healthcare Foundation
Donation Form:



I would like to Donate: $    to St. Joseph's Healthcare Foundation. ( correct = xx or xx.x  -  incorrect = $xx or $xx.xx )
My gift is in memory of:

Acknowledgement should be sent to:		 Mr.   Mrs.   Ms.   Miss. 
Last Name  
First Name  
Street Address
City  
Province  
Postal Code  

Relationship to Honoree:
Spouse   Parent   Child  
Sibling    Friend  

Please direct my gift to:  
 

Donation Payment Options:

OPTION 1: Payment by Credit Card:

I authorize St. Joseph's Healthcare Foundation to deduct the specified amount from my Credit Card.

Click on the button below to go to Internet Secure, our Secure Gateway Payment Provider:

        

OPTION 2: Pay by Cheque or Money Order:

Complete the below contact information only if you do not wish to use your Credit Card. The form information will be e-mailed to the Foundation and a representative will contact you to complete the donation process.

Please send your cheque or Money Order to: 

St. Joseph's Healthcare Foundation
224 James Street South, Suite 1, 
Hamilton, Ontario    L8P 3A9
or 
Fax the Foundation: 905.577.0860
Contact Information: Mr.   Mrs.   Ms.   Miss.  
*Last Name  
*First Name  
*Street Address
*City  
*Province  
*Postal Code  
Phone  
Fax 
*E-Mail  
*Required Fields 


Charitable Registation Number:
BN 119183549 RR0001


Contact Information
Charlton Campus
50 Charlton Avenue East, Hamilton, Ontario, Canada L8N 4A6
(905) 522 - 1155 (automated)
(905) 522 - 4941 (switchboard)




West 5th Campus
100 West 5th Street, Hamilton, Ontario, Canada L8N 3K7
905-388-2511 or 905-522-1155




King Campus
2757 King Street East, Hamilton, Ontario, Canada L8G 5E4
(905) 573-7777
Urgent Care Service:
0800 hrs to 2200 hrs - 7 days per week.
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