Make a Donation

making a: one time gift | monthly donation

How much would you like to donate?

Field Is Required Select Gift Amount:

This amount will be charged on the same day of every month.

$10.00

$20.00

$30.00

Enter an Amount

Enter amount

Designation:

Area of greatest need

This radio option selects the field value from the following text input field.

Company Gift

Yes

First Name:

Middle Name:

Last Name:

Mailing Address Line 1:

Mailing Address Line 2:

City:

Province/State:

Postal Code/ZIP:

Country:

Email Address:

Yes, I'd like to receive email updates from Children's Hospital Foundation of Manitoba.

I would like to remain anonymous, my name will not be published as a donor.

Reason for Giving

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

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