Donate Now

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

You may also donate directly to an existing Personal Tribute. Learn more.

For donations outside of North America, please contact us.

Donor Information *required field
Title: *
First Name: *
Middle Initial:
Last Name: *
Address: *
City: *
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Email: *
Home Phone: *
Alternate Phone:
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If other, please specify:
Donation Details
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Please mail acknowledgement of this gift to:
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Please make my donation:
Gifts of $1000 or more will be recognized on our Donor Wall.
Please accept my contribution of:
$100 $250 $500 $1000 $1500
Payment Method
Payment Method: *
Card number: *
Expiry date: / *
Cardholder's name: *
Please make cheques payable to: Lions Gate Hospital Foundation.
Lasting Contributions
Please send me information about leaving a gift in my will to Lions Gate Hospital
Collection, Use & Disclosure of My Personal Information
I consent to Lions Gate Hospital Foundation collecting, using, processing, 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).
Yes, I consent I wish to remain anonymous

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 donation form (21KB pdf) and complete as required and mail to:

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

Or fax to (604) 984-5786

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

Karin Tober
Donations Officer
Phone: 604-984-5785