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The Brain Centre Campaign

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Your support of the University Hospital Foundation’s Brain Centre Campaign will accelerate the advancement of brain care at the University of Alberta Hospital.

Through your support you are a partner in that care.

Donation Information

Amount:

One Thousand

$ 1,000.00

Five Hundred

$ 500.00

Two Hundred Fifty

$ 250.00

One Hundred Fifty

$ 150.00

Seventy Five

$ 75.00

Fifty

$ 50.00

Twenty Five

$ 25.00

Other

$

*

Additional Information

Type of gift:

One-time gift
Recurring gift
Instalments

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Billing Information

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First name:

*

Last name:

*

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Address lines:

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City:

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Province:

*

Postal Code:

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Phone:

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Email:

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Payment Information

Cardholder's Name:

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Credit Card Number:

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Card Type:

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Card Expiry:

/

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Card Security Code:

help

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Matching Gifts

My company will match my gift

Company:

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Tribute Information

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Mail a letter on my behalf

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If you wish, donations by cheque can be sent to:

Brain Centre Campaign
University Hospital Foundation
8440 – 112 Street NW
Edmonton, AB T6G 2B7

THE CAMPAIGN
OUR PROJECTS
BRAIN CONDITIONS
TAKE ACTION
Login
The Brain Centre Campaign

THE CAMPAIGN
OUR PROJECTS
BRAIN CONDITIONS
TAKE ACTION
Login
The Brain Centre Campaign

University Hospital Foundation

Phone: 780-407-7007 | Fax: 780-407-6603
uhfoundation@albertahealthservices.ca
Charitable Registration Number
88900-3240 RR0001

Copyright 2016 University Hospital Foundation