Give in Memory

Memorial donations are a thoughtful way to acknowledge and pay tribute to the memory of a loved one who has passed away, while making an important difference in the lives of those touched by substance use and mental health.

Being an agent of change is more than just a financial gift, it is a commitment to save lives and support those in our community that are most vulnerable.

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

Who's giving today?

When you elect to dedicate your contribution, you have the option of sending an e-Card or printing a card when you dedicate the contribution. Donation amounts are kept strictly confidential.

Personal Info

First Name *

Last Name

Is this donation on behalf of a company?

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Company Name

Email Address *

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Dedicate this Gift

Yes, please
No, thank you

Dedication Type

In honor of
In memory of

Honoree Details

First Name *

Last Name

Would you like us to notify anyone of your donation?

Yes, mail a card
Yes, send an eCard
No thanks

Notification Details

Personalized Message * 300 Characters left

First Name *

Last Name

Email Address *

Notification Details

First Name *

Last Name *

Country *

Address Line 1 *

Address Line 2

City *

Province *

Zip/Postal Code *

Credit Card Info

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Card Number *

CVC *

Cardholder Name *

Expiration *

Terms

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Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $100