ONLINE DONATION

 


I WOULD LIKE TO MAKE A DONATION:
Personal
Corporate
Planned and major
Fundraising
In Memoriam
For
 
TO SUPPORT:
Alfonso Minicozzi and Family Chair in Thoracic Surgery and Lung Transplantation
Marcel and Rolande Gosselin Chair in Thoracic Surgical Oncology
Régis Morissette - Fransyl - Morrissette Family Chair in Thoracic Surgery and Esophageal diseases
CHUM Endoscopic Tracheobronchial and Oesophageal Center (C.E.T.O.C)
Ex vivo lung transplant perfusion program
General Research Fund
 
IN THE FOLLOWING AMOUNT(CAD)
5 000 $ 2 500 $ 1 000 $ 500 $ 250 $ 100 $ 50 $    Other Amount $

One-time    Monthly   Annual  

I authorize the Foundation to charge on my credit card the chosen amount in the chosen frequency.  
 

DONOR IDENTIFICATION

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METHOD OF PAYMENT:
1. CHECK PAYABLE TO:

THORACIC SURGERY Research Foundation of Montreal
835, boul. René Lévesque Est
Montréal (Québec) H2L 4V5
Registration #: 85697 2872 RR0001
2. PAY BY CREDIT CARD:

Visa VISA
Mastercard MASTER CARD

 
For further information please contact
Jessica Gauthier at(514) 890-8000 poste 24543