Tribute

Thank you for choosing to honour the memory of a loved one with a Tribute donation.

Your donation will ensure that POSITIVE LIVING BC can continue to provide vital programs and services to its over 5,600 HIV positive members across BC.

Please enter the name of the person you're honouring when asked further down this page. You have the option to write down the name and address of a member of the bereaved family and we will notify them of your generous gift.

All donations you make support members services and you will receive an instant tax receipt for your donation. The contact information you provide below is required to generate a tax receipt, which will be sent to you at the e-mail address you provide.

* denotes required information

Make personal donation:
Make donation on behalf of an organization:

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* First Name:
* Last Name:

Contact Information


	Home Work

Enter address manually
* Address:

* City/Town:
* Country:
* * Province/State:
* Postal/Zip Code:
Phone Number:	( ) Ext.
* Email Address:

I give Positive Living BC permission to contact me by email.

Tribute Details

* Who do you wish to honour by making this tribute donation?

If you would like us to notify a family member or a loved one of this gift, please input their name(s) and address(es) here.

Payment Information

* * Donation Amount:

* Processing Date:

* Number of Installments:

installments

* Credit Card Type:

* Credit Card Number:

* Cardholder's Name:

* Credit Card Expiration:

Security Check

We have implemented an extra step in order to prevent Credit Card fraud. Unfortunately, some people use automated programs to test whether fraudulently obtained credit cards are valid. To counteract this practice we ask that you answer the question below.