DONATION FORM

Thank you for helping to make St. Mary's General Hospital a better place.
Your gift will be used to fund the highest priority needs.

Official tax receipts will be issued for all gifts.

Our charitable business number is 11918 9017 RR0001

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In Honour of Special Occasion

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For "In Honour of Special Occasion" OR "Memorial Gift"
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* Fund Allocation
Where it is needed most Surgical Suite
Cardiac Care Other - specify and we will match a fund to your wishes
Medicine Spin12 - specify rider
Respirology

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I choose to give this gift anonymously and have my name left off publications listing donor names and gift levels.

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