WBHI Think Tank

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Donate to Women’s Brain Health Initiative

Your contribution helps us combat brain aging diseases that affect women. Donations of any amount are always welcome.

You will receive a tax receipt for your generous gift.

$ Donation Amount:

Make this donation monthly

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Personal Info

First Name *

Last Name

Email Address *

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Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

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Dedication Information

Dedicate your gift to recognize a milestone, celebrate a Holiday, or in Memory of someone special

Compete the following information if you would like to dedicate your gift to recognize a milestone, celebrate a Holiday, or in Memory of someone special.

We will send a card with your personalized message to the address you specify.

Please select one: In honour of In memory of In celebration of

Name of person being honoured, memorialized, celebrated, etc.

Your personalized message (Remember to sign your name)

Enter the address to which the card should be mailed.

Recipient Name

Recipient Address

Recipient City

Recipient Province/State

Recipient Postal / Zip Code

Donation Total: $250.00 One Time