Alzheimer Society of Manitoba

Thank you for your donation!
Did you know that we receive less than 2% of our funding from the government?

Dedications and Gift Options:

Would you like to dedicate this donation?

Yes, as a gift in memory of

Yes, as a gift in honour/on behalf of (birthdays, anniversaries, weddings,etc.)

Acknowledgement Information

To let this individual's family or friends
know that you have made a donation,
you may choose one of the following:

I will notify this person on my own

Please fill up recipient information
*Title:
*First Name:
*Last Name:
Email Address:
*Address:
*City:
*Province:
*Postal Code:
Country:
*Message as you want it to appear on acknowledgement card

Request that the Manitoba Alzheimer Society send a card by postal mail ( Enter name and address of the individual or family you want the card sent to )

*Donation of CA$

/Month

*Frequency:

One-time donation

Repeating donation, deducted monthly from my credit card

- or -
Perhaps you would like to donate with PayPal.