Yes, I support the KBRH Health Foundation. My tax-deductible gift for the benefit of those receiving care is:

This is a one-time gift
This is a monthly gift

Please indicate if your gift requires that we acknowledge someone:

This is a Memorial gift in memory of:
This is a Tribute gift (birthday, anniversary, special event) in honour of:
This is a Grateful Patient gift (recognizing staff, doctors and/or volunteers) in honour of:
This is a Gift of Healthcare:

Please include the following message with my gift

Please Notify:

I would like my donation to support:
KBRH Health Foundation does not rent, sell or share its donor list.

The Greatest Need
ICU/HART Project
Poplar Ridge Pavilion
Columbia View Lodge
Community Health
Other Department:  

Other Comments?

Please send my charitable tax receipt to:

* = required fields
First Name: *
Last Name: *
Organization Name:  
Address: *
City: *
Province/State: *
Country: *
Postal/Zip Code: *
Phone: * (including area code)
Email: *

Please click on submit to continue to secure payment page.

KBRH Health Foundation 1200 Hospital Bench,Trail, BC V1R 4M1 Tel (888) 364 3424 Fax (250) 364 5138