Donations & Giving: Welcome to LGHFoundation.com

Your financial investment will assist the Foundation in supporting the highest level of health care on the North Shore.

Submitting Online

When you submit online donations to Lions Gate Hospital Foundation, your information is stored using state-of-the-art security techniques. We also always use secure industry-standard encryption technology when receiving registration form-related data. Credit card transactions are securely handled by Foundation staff. We do not store any credit card information on the Lions Gate Hospital Foundation web site.

Submitting By Mail or Fax

To submit credit card and/or cheques by mail or fax, please print this form and complete as required and mail to:

Lions Gate Hospital Foundation
231 East 15th Street,
North Vancouver, BC, V7L 2L7 Canada

Or fax to (604) 984-5786

Questions

If you would like to contact Rebecca James or Karin Tober for more information on how to donate to the Lions Gate Hospital Foundation please call,

	Rebecca James Fund Development Coordinator Tel: 604-984-3864 Email: Rebecca

	Karin Tober Donations Officer Tel: 604-984-5785 Email: Karin

Donor Information

Mr Mrs Ms Miss Dr

First Name:

Last Name:

Home Address:

City:

Province/State:

Postal Code/Zip:

Email:

Phone (h):

Phone (w):

I would like to make a donation

To the area of greatest need
Current Campaign
Other:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

* In memory of:

* In honour of:

* Occasion for gift:

* Please mail acknowledgement of this gift to:

Contribution

Gifts of $1000 or more will be recognized on our Donor Wall.

Please accept my contribution of:

$100 $250 $500 $1000 $1500

I prefer to contribute:

Payment Method

Cheque, make payable to: Lions Gate Hospital Foundation Visa
MasterCard

Card number:

Expiry date:

Cardholder's name:

Monthly Giving

If you would like to become a Monthly Partner, please contact us at 604-984-5785 or by email at andrew.cwong@vch.ca.

Lasting Contributions

Please send me information about leaving a gift in my will to Lions Gate Hospital Foundation.

Consent to the Collection, Use & Disclosure
of My Personal Information

I consent to Lions Gate Hospital Foundation collecting, using, proessing, disclosing, acknowledging and reporting my personal information as required by law, in order to comply with all legal and regulatory requirements relating to my donation, and for the purpose of acknowledging my donation (unless I have indicated below that I wish to remain anonymous). I give Lions Gate Hospital Foundation permission to contact me regarding future camapigns and events (unless I have indicated below that I do not wish to be contacted in the future. I understand that Lions Gate Hospital Foundation respects the privacy of its donors and will not sell, trade or publish any personal information to other organizations.

	I wish to remain anonymous.
	I do not wish to be contacted in the future.