Calculate a day's pay! Enter your salary:
$
Your day's pay:
$
How is this calculated?



Make a General Donation

Please provide your address and payment information. The address information is required to generate your tax receipt. The electronic tax receipt will be sent to the email address you provide.

Fields marked with a * are mandatory.

Make a Personal Donation

*Prefix:
*First Name:
*Last Name:
Employer:

Make a Corporate Donation

*Company:

Address Information

Apt. number:
*Street number:
*Street name:
Address line 2:
*City:
*Province:
*ZIP/Postal Code:
*Address Type:
*E-mail:
*Phone: Ext:
Cellphone:
Allow Canadian Physicians for Aid and Relief to contact me by email.

Questions

Payment Information

Amount: $500 $250 $150
Other $
Please Do Not Use Commas or Spaces
Powered by Helpforcharities.com

Credit Card Information

Transactions are in Canadian Funds
*Card Type:
*Expiry Date:
*Card Number:
*Cardholder Name:
*CVV: What is CVV?
Tax receipts will only be issued for donations $10 or greater

To ensure the security of your personal information you have been taken to a secure form on a secure server hosted by our payment provider - Paypaq™ Solutions Inc. Paypaq™ Solutions Inc. is a validated Service Provider under Payment Card Industry Data Security Standards (PCI) (www.paypaq.com). Look for the locked lock on your browser's status bar or https: to ensure you are submitting your payment information on a secure form.