Donate

Donation by Mail

Please choose the amount you would like to donate. You may select a defined amount or specify yourself. Be sure to include 2 decimal places (ie. 5.00).

Donation in the amount of $:
Email Address:
First Name:
Last Name:
Address:
Street Address Address Line 2 City Province Postal Code
Phone Number:
Please indicate below which specific project or activity you wish to direct your gift to:

Payment methods

Donate to the Smiths Falls Community Hospital Foundation

Donation by Mail