Give Today

Field Is Required Select Gift Amount:

$150

$100

$50

$25

Other:

Enter amount

I would like to make this an anonymous donation.

Calendar Opt-in

Yes, I donated a minimum of $50 and would like to receive a FREE calendar in the mail.

Donor Billing Information

The name and address you enter below must match your credit card details in order to process this donation.

Make this gift on behalf of an organization (check this box for organization gifts)

Organization Name:

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.

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

If you select the PayPal option, you then need to click "Process Now" below to continue to the PayPal login page to complete your donation.

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV/CSV Number: What is this?

18-360 George St. N
Peterborough, Ontario K9H 7E7

Charitable registration number: 129397980RR0001

Need help?

Phone: 1-800-561-2588