Pancreatic Cancer Canada

Gift & Payment Information

Review Gift

What type of donation are you making?

Would you like to make this a recurring gift?

Is this an honour or memorial gift?

Gift Amount

Honour/Memorial Gift Details

Send Acknowledgement Card by Mail

Send Acknowledgement eCard

Your Donation Will Help Save Lives!

Your generous contribution will provide much needed funding for research, education, awareness and advocacy, with a goal to increase the survival rate for the thousands of Canadians who are affected by pancreatic cancer each year.

Organization or Personal Gift

Personal

Company/Organizational

Make this gift on behalf of an organization

Organization Name:

Field Is Required Select Gift Amount:

$25.00

$50.00

$100.00

Enter an Amount

Enter amount

Gift type:

OneTime

Yes

Select a Gift Duration:

Yes, this is an honour or memorial gift

Honour Gift Type:

Honouree First Name:

Honouree Last Name:

Or would you like to send a card by email? Yes, I would prefer to send an eCard.

Personalized Message:

Recipient email addresses:

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

eCard Subject:

Select an eCard:

Yes, send me a copy of the eCard.

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient Province/State:

Notification Recipient Postal/ZIP Code:

Billing Information

Organization Name:

Your official tax reciept will be emailed to you immediately
The address you provde must match to the billing address thais is on file with the credit card issuer

First Name:

Last Name:

Street 1:

Street 2:

City: