1
Transaction
2
Personal information
3
Payment
FR
Log in
Major Campaign - Personal donation
Transaction
One-time gift
Monthly gift
Type of donation
---
Campaign donation Palliative Care Home
Donation amount
$1,000
$500
$250
$100
Other
$
In recognition of my contribution
Make your choice
I authorize the Fondation Santé Baie-des-Chaleurs or the Baie-des-Chaleurs Palliative Care Home to publish the name of my company or organization (or my name) in compliance with the recognition program.
I prefer that my name or that of my business or organization remain anonymous.
Next
Organization's registration number:
14083 0415 RR 0001
Time remaining in your session:
15
Time remaining in your session:
15