Canadian Mental Health Association

In Memoriam Donation Form

Step 1 of 5

Thank you for choosing to make an in memoriam donation to CMHA, National. Completing the in memoriam donation form will allow CMHA, National to send, on your behalf, an electronic or paper/traditional card. It will also provide you with an option not to send a card. To make your choices, please complete the following:
* denotes required information


Survey Questions

* I give permission for CMHA, National to contact and thank me over the phone.

* I grant permission for CMHA, National to publish and release my name on CMHA, National's web site and promotional material, such as brochures and the Annual Report. Note: We have the utmost respect for your privacy and will not trade, sell or exchange your personal information.

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