Commemorate a special person with a memorial gift

Every year, financial donors have a meaningful impact on Canada’s Lifeline and the many patients who rely on blood, plasma, stem cells, organs and tissues and lifesaving research led by Canadian Blood Services.

When you donate financially you unlock even greater support for patients and make more news-worthy stories in all these areas possible.

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What type of gift would you like to give?

One-time Monthly In Memoriam In Celebration

How much would you like to donate?

Field Is Required Please select a gift amount:

$50.00

$100.00

$150.00

Other

Enter amount

Where would you like your gift to have impact?

Field Is Required Please direct my funds to the highest priority projects and initiatives

Who is your gift in memory of?

Honouree title:

Honouree first name:

Honouree last name:

Your first name:

Your last name:

Personal message (255 characters maximum):

Would you like Canadian Blood Services to notify someone of your gift by postal mail?

Yes, I would like to notify the recipient via postal mail.

Recipient title:

Recipient name:

Recipient street 1:

Recipient street 2:

Recipient city:

Recipient province/state:

Recipient postal/ZIP code:

Recipient country:

Would you like to send an eCard to someone to notify them of your gift? Yes, I would like to send an eCard.

Send eCard on:Select month of credit card Select Expiration Year

Recipient email addresses:

Select an eCard:

eCard subject:

Send copy to sender: Yes, send me a copy of the eCard.

Your information

This donation form uses an address verification system to validate transactions. Please enter your billing address exactly as it appears on your credit card/bank statement.
Questions? Please contact us at 613-739-2339 or philanthropy@blood.ca. We're here to help!

Are you making this gift on behalf of an organization?

Organization name:

Title:

First Name:

Last name:

Street 1:

Street 2:

City:

Province/State:

Postal code/ZIP:

Billing country:

Email address:

Phone number:

Does your employer have a matching gift program? Please use the field below to find out.

Let's keep in touch

I wish to receive further communication from Canadian Blood Services' Philanthropy Department, including updates about my gift, its impact and hear about other ways I can help.

Payment information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV: What is this?

At Canadian Blood Services we recognize that privacy must be protected and respected. We collect your personal information to process your donation, issue your charitable tax receipt, deliver updates about the impact of your gift, conduct analysis, honour your support and share with you other ways in which you can help. By submitting this form, you accept Canadian Blood Services’ privacy notice to financial donors and that of our third-party service provider. You may withdraw your consent at any time by 1 888 2 DONATE (1.888.236.6283) and ask for our philanthropy department.