GA donation form banner

The impact of the donation you make today is significant.

You are making a one-time gift to A Gold-Plated Evening in support of men's cancers. Your donation will stay right here in the province supporting Manitoban men and their families affected by cancer. To make a gift by mail, please send your cheque made out to:

CancerCare Manitoba Foundation
675 McDermot Avenue, Room ON1160
Winnipeg, MB R3E 0V9

 

To make a gift by phone please call 204-787-4177 or toll-free 1-877-407-2223

Gift Information


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

Field Is Required Select Gift Amount:

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.

If you are registered for a CancerCare Manitoba Foundation fundraising event, please ensure the box is checked to continue receiving event communications from the Foundation. We do not rent, sell or trade mailing lists or other personal information. Click here to see our complete privacy policy.

Billing Information

Payment Information

Credit Card Information:

Credit Card Type:
  • Visa
  • American Express
  • MasterCard
What is this?

Your donation may take a moment to process. Please click "PROCESS" below, once.