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I would like to make a donation to the Foundation in honour or memory of a loved one.

Your gift honouring a loved one, friend or colleague has an immediate, powerful and lasting impact on the care, treatment, support and research at CancerCare Manitoba.


Field Is Required Select Gift Amount:

In Honour / Memorial Information


This form does not support personalized auto-fill settings. Please double check all fields before submitting.

Who should the card be mailed to?

Who should the eCard be sent to?

Yes, Send an eCard

Donor Information


Please enter the donor email address. If an email address is not available, please enter their first and last name within the following format: firstnamelastname@noemail.ca (e.g. JaneSmith@noemail.ca). A tax receipt will follow by mail.

Billing Information

Billing information is the same as donor information

Payment Information

Credit Card Information:

Credit Card Type:
  • American Express
  • MasterCard
  • Visa
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