Make a one time gift - Alzheimer Society Foundation of Brant, Haldimand Norfolk, Hamilton Halton

Today, we are at a tipping point. The number of Canadians with dementia, including Alzheimer’s disease is rising sharply, due primarily to our aging population. You can help. Join our movement and help us support families living with dementia.

Give today Give monthly Give in memory/honour

Give Today

If you would like to make a donation on behalf of a company use this form.

Field Is Required Select Gift Amount:

$150

$100

$50

$25

Other:

Enter amount

Additional Amount:

$2.50 - Yes, I would like to contribute to help cover the transaction fees for this donation, ensuring more funds go to the Alzheimer community.

Charitable tax receipts will be automatically generated for individual donations of $20 or greater.

I would like to make this an anonymous donation.

Field Is Required If you would like to direct your donation to your local community, select from the menu below:

Donor Billing Information

The name and address you enter below must match your credit card details in order to process this donation. The Canada Revenue Agency (CRA) does not permit us to issue tax receipts to anyone other than the donor (the person whose name is on the credit card).

Title:

First Name:

Middle Name:

Last Name:

Address (line 1):

Address (line 2):

City:

Province / State:

Postal Code / Zip Code:

Country:

Email Address:

Yes, I'd like to receive news, tips and information by email from the Alzheimer Society.

Send Info on Gift of Will

Please send me information on how to leave a gift in my Will

Donor Payment Information

All donations made online are made in a secure environment; no credit card information is stored.

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV/CSV Number: What is this?

Charitable registration number: 894537984RR0001

100-25 Bell Lane
Brantford, ON N3T 1E1

645 Norfolk St N
Simcoe, ON N3Y 5C1

700-1575 Upper Ottawa Street
Hamilton, ON L8W 3E2

42 Main St S
PO Box 940
Hagersville, ON N0A 1H0

8-4391 Harvester Rd
Burlington, ON L7L 4X1

Need help?

Phone: 1-800-565-4614
Email: admin@alzhn.ca