This form is provided for those wishing to make donations to The Health Foundation. You may pay by credit card, or choose to pay by other means. Confirmation of receipt of your donation will be sent to you.
If you prefer not to send credit card information through this secure web site page, you may still use this form, and indicate that you will be sending a cheque for your donation. We can also contact you by phone to receive your credit card information.
If you prefer, you may print this page, fill it in, and fax it to us at 306-786-0508.
Please note: this page is located on a secure site so that your personal information is encrypted using Secure Socket Layer (SSL) technology as it travels over the Internet. A change in URL (web site address at the top of your browser page) from "http://" to "https://" indicates that you are on the secure site. If the URL remains as "http://", you may be making an insecure transmission, and may wish to use an alternate payment method.
Please provide all the information requested so we can process your donation. Your name and email address must be filled in before the form can be sent.