Tribute / Memorial Donation

Tribute/Memorial Donation

I would like to make a donation of

in of

My Information

Name:
Address:
City/Province:
Postal Code :
Telephone :
Email :

Acknowledgement

A sympathy card has already been sent to the family.
Please send a sympathy card to the family.
Name:
Address:
City/Province:
Postal Code :

Payment Information

Payment Type:

Visa Mastercard Cheque

Credit Card Number:

Cardholder:

Expiration Date:

Please send cheques with the form to:

PARKINSON SOCIETY OTTAWA

1053 Carling Avenue

Ottawa, Ontario

K1Y 4E9

Please contact me, I would like to discuss:

I have made a gift to Parkinson Society Ottawa in my will.

I have made a gift of life insurance to Parkinson Society Ottawa.

Remembering Parkinson Society Ottawa in my will.

Arranging a gift of life insurance to Parkinson Society Ottawa.

Parkinson Society Ottawa does not sell or loan its mailing list to other organizations. Tax receipts will be issued for all donations. Our charitable registration number is 11908 0497 RR0001.