Special Occasion Giving

An opportunity to honour a family member or friend sharing in their special occasion, and at the same time, support healthcare in the West Niagara community.

  1. Donor Information

  2. Donation Information

  3. Tribute Information

  4. Description: Anniversary, Birth, Retirement, Birthday, Wedding, etc.
  5. Description: If Honouree is NOT in listing, enter name below.
  6. Honouree Acknowledgement Information

  7. Payment Information

  8. $0.00
  9. 3-digit value located on back
  10. Miscellaneous

  11. Confidentiality

    I understand that West Lincoln Memorial Hospital Foundation Inc. will keep my donation information I provided here confidential and agree that the Foundation may forward information or requests for donations in the future.