Due to the precautions we are taking at the Alzheimer Society to do our part to stop the spread of COVID-19, there will be a delay in our mailing.
Please consider choosing an e-card option.

Tribute Donation

If you would like to make an in honour / in memory donation on behalf of a company use this form.

Thank you for choosing to make a gift to support programs and services in London and Middlesex County.

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Tribute Information

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Please note your personal message cannot exceed 255 characters.

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).

Donor Payment Information

Credit Card Information:

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