Donation Form
  

The Alzheimer Society of London and Middlesex would like to thank you for the donation you make today to support our work. Your donation will help to fund vital services to people with Alzheimer's disease and their families.

Please provide your contact and payment information so that we can send you a tax receipt.

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Thank you for your donation!
A tax receipt will be mailed shortly.
  


 
© Alzheimer Society of London and Middlesex 2007. All rights reserved.
435 Windermere Road(Windermere on the Mount), London, Ontario N5X 2T1     Charitable Registration Number: 106705346RR0001
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