Eden's Birthday Fundraiser - Jim Pattison Children's Hospital Foundation

How much would you like to donate?*

$25

$50

$100

$250

$500

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Frequency*

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Who's giving today?

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Name*

Salutation First Middle Last

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Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Birthday

Phone*

Designate This Gift

Would you like to choose a fund to designate this gift to?*

Yes, let me choose

No, give where needed most

Designated Fund

Dedicate this Donation

Yes, please

No, thank you

Dedication Type

In honour of

In memory of

Honouree Details

First Last

Would you like us to notify anyone of your donation?

Yes, mail a card

Yes, send an eCard

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Message

Recipient

First Last

Recipient Email

Recipient's Address

Street Address Address Line 2 City Province Postal Code

Help us cover the processing fees

Yes, please add $0.00 to my transaction

3% of donation, to a maximum of $25

Donation Total

Processing Fee

: $0.00

Processing Fee (Max)

:

Credit Card*

For American Express, please call the Foundation office at 306.931.4887.

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Eden’s Birthday Fundraiser

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