visit the store shopping cart

1

Gift & Payment Information

Make a Donation

making a: one time gift | monthly donation

Have you considered monthly giving?

Monthly donors show their support through small and manageable monthly gifts and by doing so create reliable and consistent funding that helps us better plan ahead to ensure every child, and their families, who turn to the hospital in their time of need, can receive the life-saving medical care we all deserve.

Become a monthly Donor

Make a Donation

Designation:

Area of greatest need

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

Field Is Required Enter A Gift Amount:

$25.00

$50.00

$100.00

$250.00

Other Amount

Enter amount

Gift Notification

Yes, I would like to send an eCard.

Send eCard on:Select month of credit card Select Expiration Year

Recipient email addresses:

Select an eCard:

eCard Subject:

eCard Message:

Yes, send me a copy of the eCard.

Donor Information

I would like to remain anonymous, my name will not be published as a donor

Company Gift

Yes

No

First Name:

Last Name:

Billing Address Line 1:

Billing Address Line 2:

City:

Province:

Postal Code/ZIP:

Country:

Email Address:

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

Phone Number:

Reason for Giving

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?

]]