In memory/tribute donation

Due to the precautionary measures the Alzheimer Society is taking to stop the spread of COVID-19, we expect delays in the mailing of our printed tribute notifications. Please consider choosing an e-card option. Thank you for understanding.

Make a one-time gift

Give monthly

Give in memory/tribute

Make a one-time gift

Give monthly

Give in memory/tribute

Other ways to donate including by phone or mail.

If you would like to make a in memory/tribute donation on behalf of a company use this form.

Thank you for choosing to make a tribute donation to support our vision of a world without Alzheimer’s disease and other dementias.

Field Is Required Enter A Gift Amount:

$150

$100

$50

$25

Other:

Enter amount

Field Is Required I would like my donation to support:

Use my gift where it is needed most.

I would like to remain anonymous in any public recognition of this donation. Please note that donations of $1,000 or more are acknowledged in our Annual Report.

Does your employer have a matching gift program? Please use the field below to find out.

Gift type

Select gift type:

Who is this gift in honour / memory of?

Title:

First Name:

Last Name:

Who is this tribute donation from?

Should we notify someone of your gift?

Card From Name

Mail a printed card

Recipient First Name:

Recipient Last Name:

Send an electronic card

Yes, I would like to send an eCard.

eCard Subject:

Personal Message:

Please note your personal message cannot exceed 255 characters.

Recipient Email Addresses:

Select an eCard:

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

Yes, send me a copy of the eCard.

Recipient Address (line 1):

Recipient Address (line 2):

Recipient City:

Recipient Province/State:

Recipient Postal/ZIP Code:

Recipient Country:

Donor billing information

Please note that the address you provide must match the billing address of the credit card holder. If it does not, please contact donorserve@alzheimer.ca. The Canada Revenue Agency requires that donation receipts bear the name and address of the actual donor.