Please donate
Thank you from the West Island Cancer Wellness Centre

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt which will be sent to the email address that you provide.

Donation Amount

$55
$65
$75
$85
$95
$120
$145
Other

Did you know that by covering the processing fee, will be able to help more people?

I'd like to cover the fee so 100% of my donation goes to the nonprofit ( %ProcessingFee% ).

For monthly donations, this fee will be added to each future installment contribution.

Processing Date:

Make this donation in honour or in memory of an individual

Tribute Information

Honoree or name of person to be remembered

Please enter the name of the Honoree

IMPORTANT: Address to family for acknowledgement letter (required) and message to WICWC (optional). (Optional)

I would like to send a card

Select an E-Card

Select a card

In honour of you
In Honour of YOU!
I Honour YOU!

Thinking of YOU!
Thinking of YOU always!
Thoughts of YOU!

Upload my own image

Card Layout

Choose File Invalid file type

Sender details

Sender name

Please input a sender name

Sender email

Please input a sender email address Please input a valid sender email address

Recipient details

Recipient name

Please input a Recipient Name

Recipient email

Please input a valid Recipient Email

Card Message (Optional)

I would like to send the E-card on a future date

First Name First name is missing

Last Name Last Name is missing

Recipient address (line 1) Address is missing

Recipient address (line 2) (Optional)

Country Please select a country

Province Please select a Province

State Please select a State

State State is missing

City City is missing

Postal Code Postal Code is missing Postal Code is invalid

Phone Number Phone Number is missing Phone number is invalid. Please ensure you remove any special characters.

Email Addresss Email Address is required Please input a valid email address.

Donor Information

Name

First Name First name is missing

Last Name

Last name is missing

Organization Name

Organization name is missing

Contact Information

Enter address manually

Address 1 Address is missing

Address 2 (Optional)

Country

State/Province Please select a Province

State Please select a State

State/Province State/Province is missing

City City is missing

Postal/Zip Code Postal Code is missing Postal Code is invalid

Phone Number (Optional) Phone number is invalid. Please ensure you remove any special characters.

Email Address Email address is missing Email Address format is invalid

Payment Information

Card Holder Name Credit Card Holder's Name is missing

Card Number Credit Card Number is missing The credit card number must be 16 digits, optionally separated into 4 groups of 4 with blanks or dashes

Expiry MM Please select the Credit Card Expiry Month

Expiry YY Please select the Credit Card Expiry Year

CVV (?) Credit Card Security Verification Number is missing The credit card security number must be between 3 and 4 digits The credit card security number must be 4 digits

Valid from MM

Valid from YY Credit Card Valid Fom Date is incorrect - both Valid From Month and Valid From Year must be selected or none selected

Issue Number Credit Card Issue Number can be a 2 digit number or blank

Bank Name Bank Name is missing

Bank ID Bank ID is missing The Bank ID must be 3 digits

Cheque Number Cheque Number is missing The Cheque Number must be 3 digits

Transit Number Transit Number is missing The Transit Number must be 5 digits

Account Number Account Number is missing

By continuing, you acknowledge that your credit card will be charged on a recurring basis for the duration outlined or until cancelled.

Your privacy is important to us, so will keep your personal data secure and will not use it for marketing communications which you have not agreed to receive. At any time, you may withdraw consent by emailing info@wicwc.org or by contacting our Privacy Officer. Please see our Privacy Policy

Please donateThank you from the West Island Cancer Wellness Centre