Make a Donation

Posted on January 19, 2012

Thank you for considering a donation to the Alzheimer Society London and Middlesex™. Your generous support will help us advocate for and provide education, support and research for those affected by Alzheimer’s disease and related dementias (ADRD) in the London and Middlesex community.

A charitable tax receipt will be issued for all donations over $20.

Donation

Donation Amount: * $ CAD

Designation: *

Please give my gift to the Alzheimer Society London and Middlesex and direct it where it is needed most.

Send an Acknowledgement Card

If selected, we will mail an acknowledgement card to the person of your choice.

Please direct my gift to the Alzheimer Foundation London and Middlesex™.

Please direct my gift to the Hop for the Future Fund.

Send letter to:

Salutation:

First Name: *

Middle Initial:

Last Name: *

Address: *

Unit:

City:

Province/State: *

Postal/Zip Code:

Country: *

Message to be included in the letter:

Message:

In Memory Of:

Please send me a charitable receipt

If selected, a charitable receipt will be mailed to the address below.

Donor Information

First Name: *

Last Name: *

Company:

Email Address: *

Address: *

City: *

Country: *

Province or State: *

Postal / Zip code: *

Filling Date:

Filling Time: