DONATE
DONATE
☰
HOME
PROSTATE INFO
SUPPORT GROUPS
RESOURCES
ABOUT US
EVENTS
CONTACT US
FACTS & RESOURCES
GRANTS & AWARDS
VOLUNTEER
HOME
PROSTATE INFO
> FACTS & RESOURCES
SUPPORT GROUPS
RESOURCES
ABOUT US
> GRANTS & AWARDS
EVENTS
> VOLUNTEER
CONTACT US
DONATIONS
Donations
Form
Donations
Form
Online Donations
Your donation to Prostate Cancer Foundation BC will make a real difference to support prostate cancer research, prevention and treatment. Please kindly fill out the form below and select from the options provided:
Billing Information
* required
Title
Mr
Mrs
Dr
Miss
Ms
Mr & Mrs
Mr & Ms
Mr & Mr
Ms & Ms
First Name
*
Last Name
*
Address
*
City
*
Province / State
*
Country
*
Postal Code / Zip
*
Telephone
*
Email
*
Repeat email
*
Prostate Cancer Foundation BC relies on the generosity of donors and volunteers to support its mission. Please select the check box if you would like to receive notices on the activities of support groups and the Foundation.
Gift Information
Please choose one of the following:
*
Single Donation
Monthly Giving Program
Single Donation
Please direct my donation to:
Area of greatest need
Research
Support
Awareness
Ride to Live
Fathers Day Walk / Run
Butts in a Boat
I wish to make a donation of (in CAD):
*
----------
$25
$50
$100
or
$
We accept
Credit Card Number:
*
Credit Card Name:
*
Expiry Date:
*
2022
2023
2024
2025
2026
2027
2028
2029
2030
/
01
02
03
04
05
06
07
08
09
10
11
12
For single donations, we will automatically send you an e- tax receipt for all gifts over $20.
Monthly Giving Program
With your monthly gift you will help provide an ongoing source of revenue for Prostate Cancer Foundation BC. By not processing one-time donations, you will also help in the reduction of administrative and postage costs. Monthly giving is an affordable way to contribute all year round and you may cancel your enrolment with 30 days notice at any time by emailing the Foundation at
info@prostatecancerbc.ca
.
Please direct my donation to:
Area of greatest need
Research
Support
Awareness
Ride to Live
Fathers Day Walk / Run
I wish to make a monthly donation of (in CAD):
*
----------
$25
$50
$100
or
$
We accept
Credit Card Number:
*
Credit Card Name:
*
Expiry Date:
*
2022
2023
2024
2025
2026
2027
2028
2029
2030
/
01
02
03
04
05
06
07
08
09
10
11
12
For our monthly giving program, please note that your credit card will be billed the amount specified above, on the 15th of each month. Tax receipts for monthly donations will be issued by February 28th of the following year.
Is this gift a
Gift to the Foundation
Gift In Memoriam
Gift In Honour
Please Select the Occasion for this Gift:
Anniversary
Bar Mitzvah
Bat Mitzvah
Birthday
Christmas
Easter
Father's Day
Mother's Day
Our Friendship
Retirement
Wedding
Your Thoughtfulness
No Occasion
Honoree Title:
Honoree First Name:
*
Honoree Last Name:
*
Recipient Name for Sending the Card:
Mailing Address for Sending the Card:
*
City/Town:
*
Province/State:
*
Country:
*
Postal Code / Zip:
*
Would you like us to Send the Card on Your Behalf?
Yes
No
Sender Name for the Card: (if you wish to remain anonymous, please leave this field blank)
Personalize Your Card with the Following Message (up to 250 characters):
For office admin use only:
Send
Our website is secure
If you have any questions, please contact:
Prostate Cancer Foundation BC
#4 - 17918 55th Avenue
Surrey, B.C.
Canada V3S 6C8
Tel: 604-574-4012
Toll-free: 1-877-840-9173
Fax: 604-574-8011
Email:
info@prostatecancerbc.ca
Charitable Registration Number: 87105-7840 RR0001