Gift Information

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*This is how your baby’s name will appear on our St. Joe’s digital Baby Wall in the health centre’s main lobby at the Melnyk entrance.

Donor Information

Please note: A tax receipt (if applicable) will be issued automatically through email to the name and address provided in this section. Thank you for your support!

Information collected, used and/or disclosed from this form is done in accordance with the Foundation's privacy policy. Please visit supportstjoes.ca under accountable to you for more information.

Payment Information

Credit Card Information:

Credit Card Type:
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