Donate Now - In Memory

Your donation will provide education and support to people living with dementia and fund research.

Make a General Gift Make a Gift in Honour

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$100

$50

$35

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Yes, automatically repeat this gift every year on this date.

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In Memory Of

Deceased Name:

Recipient Full Name:

Mailing Address:

City:

Province/State:

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Country:

Yes, I would like to send an eCard.

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

Recipient Email Addresses (separate by commas or semi-colons or enter on separate lines):

eCard Recipient Full Name:

eCard Subject:

Personal Message:

Select an eCard (please allow pop-ups for preview button to work):

By choosing this option, you will receive a copy of the eCard.

Donor Information

First Name:

Last Name:

Mailing Address:

City:

Province/State:

Postal Code/ZIP:

Country:

Note: If you are making a donation on behalf of someone, please put their email address in below. If you do not know the email address of the donor for the tax receipt, please enter the donor's first name and last name in the email format of janedoe@noemail.com and a paper receipt will be mailed to them.

Email address entered will be associated to the donor name above.

Email Address:

Phone Number:

Phone Type:

Please note: You will now receive periodic updates and news from the Alzheimer Society delivered to your inbox.

The donor information above is the same as the billing information.