One Time Gift

YES, I want to help sick and injured children

Donations like yours will help purchase vital medical equipment, fund life-saving research and offer programs that bring comfort to sick and injured children and their families during difficult times.

To make a tax-deductible donation right now to help kids in hospital, please fill out and submit the form below.

* = Required fields

Gift Information

Field Is Required Select A Gift Amount:

$500.00

Platinum Plus

$250.00

$100.00

$50.00

$25.00

Surprise us!

Enter amount

Designation:

Research

Child Life Program

Other areas of Greatest Need

This radio option selects the field value from the following text input field.

Billing Information

Company Gift

Yes

Title:

First Name:

Last Name:

Billing Address Line 1:

Billing Address Line 2:

City:

Province/State:

Postal/ZIP Code:

Country:

Email Address:

Yes, I'd like to receive email updates from Children's Hospital Foundation of Manitoba.

Phone Number:

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

]]